A patient with neutropenic fever and abdominal pain showing absent bowel wall on CT
| Autor: | H J Kim, W K Kang, Sung Eun Rha |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Abdominal pain Case of the Month Colon Ileum Caecum Necrosis White blood cell Humans Mucormycosis Medicine Ascending colon Radiology Nuclear Medicine and imaging biology business.industry General Medicine Anatomy medicine.disease biology.organism_classification digestive system diseases Abdominal Pain Intestinal Diseases medicine.anatomical_structure Coronal plane Female medicine.symptom Tomography X-Ray Computed business Bowel wall |
| Zdroj: | The British Journal of Radiology. 84:478-480 |
| ISSN: | 1748-880X 0007-1285 |
| DOI: | 10.1259/bjr/13586512 |
| Popis: | A 35-year-old Asian female with acute myeloblastic leukaemia developed fever and right lower abdominal pain 6 days after second induction chemotherapy. The white blood cell count was 10 μl−1 with 0% neutrophils. Peripheral blood culture was negative for aerobic and anaerobic organisms. Haematologists changed the antibiotics and started amphotericin B on the presumptive diagnosis of typhlitis. However, 13 days later, the patient again complained of severe abdominal pain. An urgent contrast enhanced abdominal CT was performed. CT showed a long segmental wall thickening of the terminal ileum, caecum and ascending colon with target-like appearance. A relatively long segment of posteromedial wall of the ascending colon was not visualised, in association with a small amount of concentrated air bubbles close to the bowel wall, regional mesenteric haziness and a large amount of loculated fluid collected along the right psoas muscle (Figure 1--44). Figure 1 Coronal reformatted contrast enhanced CT image shows abrupt discontinuity of the medial wall of proximal ascending colon (open arrow) and a long segmental bowel wall thickening of ascending colon (arrows). Figure 4 Contrast enhanced CT image from the upper to lower level show a long segmental wall thickening of the terminal ileum, caecum and ascending colon with target-like appearance (arrow). A relatively long segment of posteromedial wall of the ascending colon ... Figure 2 Contrast enhanced CT image from the upper to lower level show a long segmental wall thickening of the terminal ileum, caecum and ascending colon with target-like appearance (arrow). Figure 3 Contrast enhanced CT image from the upper to lower level show a long segmental wall thickening of the terminal ileum, caecum and ascending colon with target-like appearance (arrow). A relatively long segment of posteromedial wall of the ascending colon ... What is the cause of these imaging findings? |
| Databáze: | OpenAIRE |
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