Cuevas GM, Herrera FI, Romero BBL, Dies SP, Valadez RMT

Language: Spanish
References: 9
Page: 163-167
PDF size: 303.06 Kb.

ABSTRACT

Background: Neutropenic colitis (also called neutropenic enterocolitis, necrotizing enterocolitis, neutropenic colitis agranulocyte or enteropathy) is a common complication in immunocompromised pediatric patients, we now knows that not only affects the blind.
Objective: To determine the imaging studies requested, with suspected neutropenic colitis, how many are positive and identify tomographic findings, and negative for this entity, which were the other causes that simulated neutropenic colitis.
Material and methods: Retrospective and longitudinal involving children with clinical suspicion of neutropenic colitis, between June 1, 2009 to May 31, 2010.
Results: 45% of patients with suspected neutropenic colitis tomographic were positive. Other causes identified were: pancreatitis, duodenitis, wall abscess and adnexal cyst. The findings were: bowel wall thickening, alterations in fat pericolonic and terminal ileum, in addition to free fluid. The most affected segments were ileocecal valve and right sigmoid. Wall thickening averaged 5.3 mm, with a maximum of 7 mm and 4 mm minimum.
Conclusion: The abdominal pain in neutropenic patients must be ruled timely neutropenic colitis, CT is the method of choice for this, besides allow to discard other causes of abdominal pain.

REFERENCES

1. Alioglu A, Avci Z, Ozcay F, et al. Neutropenic enterocolitis in children with acute leukemia or aplastic anemia. Int J Hematol 2007; 86: 364-368.

2. Baud C, Saguintaah M, Veyrac C, et al. Sonographic diagnosis of colitis in children. Eur Radiol 2004; 14: 2105-2119.

3. Soriano RJ, Carrera GE, Vicuña GRM, et al. Enterocolitis neutropénica. Rev Med Hosp Gen Mex 1996; 59(1): 15-18.

4. Bavaro M. Neutropenic enterocolitis. Current Gastroenterology Reports 2002; 4: 297-301.

5. Avigan D, Richardson P, Elias A, et al. Neutropenic enterocolitis as a complication of high dose chemotherapy with stem cell rescue in patients with solid tumors: a case series with a review of the literature. Cancer 1998; 83: 409-414.

6. Esper R. Colitis neutropénica. Gac Med Mex 2002; 138(1).

7. Lucena M, Costamagna C, Giacosa S, et al. Enterocolitis neutropénica: hallazgos tomográficos. Rev Arg Rdiol 2003;67(4): 365-368

8. Hurtado M, López R, Rodríguez J, et al. Enterocolitis neutropénica en el niño con cáncer. Bol Pediatr 2008; 48: 128-136

9. Durán E, Rivera C, Banda M, et al. Enterocolitis neutropénica en el paciente con neoplasia hematológica. Med Int Mex 2008; 24 (2) : 89-97.