Neutropenic enteritis - a 2-case report and literature-review

In the last decade, clinical management of neutropenic enteritis has been most controversial due to the large variability in the clinical manifestations and evolution. In this work, two-case report are presented showing the broad spectrum of symptoms and prognosis. Intestinal perforation, abscess, obstruction and pneumatosis are factors associated with poor prognosis referred in the literature, and all of which indicate an early surgical intervention. In its absence, a close medical control with hematological support and broad spectrum antibiotic therapy could be indicated. In this case, surgery should be the approach for patients with a rapidly progressive evolution or massive or continuous intestinal bleeding, in spite of the conservative therapy.