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[Neutropenic colitis. A case report]

G Sinibaldi1, M Covizzi, D Corbascio

  • 1I Divisione di Chirurgia, Arcispedale S. Maria Nuova, Reggio Emilia.

Minerva Chirurgica
|July 1, 1997
PubMed
Summary

Neutropenic colitis is an uncommon condition presenting with right lower quadrant abdominal pain in cancer patients undergoing chemotherapy. Early identification and conservative management are key, with surgery reserved for emergencies.

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Area of Science:

  • Gastroenterology
  • Oncology
  • Internal Medicine

Background:

  • Neutropenic colitis is a rare but serious complication of chemotherapy.
  • It primarily affects patients with hematologic or solid tumors experiencing profound neutropenia.

Observation:

  • A clinical case highlights the diagnostic challenge of neutropenic colitis.
  • Key symptoms include acute abdominal pain and tenderness, often localized to the right lower quadrant.

Findings:

  • The condition is strongly suggested in neutropenic cancer patients with specific abdominal symptoms post-chemotherapy.
  • Diagnosis relies on clinical presentation and patient history.

Implications:

  • Early recognition of neutropenic colitis is crucial for timely intervention.
  • Conservative management is preferred, with surgical intervention reserved for life-threatening complications.
  • This case underscores the importance of considering neutropenic colitis in the differential diagnosis of abdominal pain in immunocompromised patients.

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