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Sonographic observations in a patient with typhlitis
D Merine1, A R Nussbaum, E K Fishman
1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD 21205.
Clinical Pediatrics
|August 1, 1989
Summary
Typhlitis (bowel inflammation) can be diagnosed using ultrasound, which reveals a characteristic "target" sign. This imaging technique also monitors treatment effectiveness by tracking the reduction in bowel wall thickness.
Area of Science:
- Gastroenterology
- Radiology
- Pediatric Oncology
Background:
- Typhlitis, also known as neutropenic enterocolitis, is a serious complication in patients undergoing chemotherapy.
- Early diagnosis and monitoring are crucial for effective management and improved patient outcomes.
Observation:
- A case study presenting sonographic findings in a patient diagnosed with typhlitis.
- Ultrasound imaging identified a distinct "target" sign in the right lower quadrant, indicative of inflamed bowel.
Findings:
- Sonography accurately suggested the diagnosis of typhlitis.
- The imaging modality facilitated follow-up assessments, demonstrating a decrease in bowel wall thickness and resolution of inflammation.
Implications:
- Ultrasound is a valuable, non-invasive tool for diagnosing typhlitis.
- Sonography aids in monitoring therapeutic response and disease progression in typhlitis patients.