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Rectal involvement in neutropenic enterocolitis.

Shuchita Gupta1, Seema Kapoor, R N Mandal Ravi

  • 1Department of Pediatrics, MAMC and Associated Lok Nayak Hospital, New Delhi, India.

Indian Journal of Pediatrics
|June 28, 2011
PubMed
Summary
This summary is machine-generated.

Neutropenic enterocolitis, a GI complication in chemotherapy patients, rarely affects the rectum. This case highlights rectal involvement in a child with acute lymphoblastic lymphoma, presenting as ileus and a rectal mass.

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Area of Science:

  • Pediatric Oncology
  • Gastroenterology
  • Hematology

Background:

  • Neutropenic enterocolitis (NE) is a severe gastrointestinal complication often seen in pediatric patients undergoing chemotherapy.
  • NE typically affects the ileum and cecum, with rectal involvement being exceptionally rare.

Observation:

  • This report details a rare case of NE in a child treated for acute lymphoblastic lymphoma.
  • The patient presented with signs of ileus and a distinct mass-like lesion in the rectum.

Findings:

  • The findings indicate that neutropenic enterocolitis can manifest with rectal involvement, mimicking other rectal pathologies.
  • This presentation is unusual, as the rectum is not a common site for NE.

Implications:

  • This case expands the understanding of neutropenic enterocolitis presentation in pediatric oncology.
  • Awareness of this rare rectal manifestation is crucial for timely diagnosis and management in immunocompromised children.
  • Further research may elucidate the specific mechanisms leading to rectal NE.