Case: 179

Typhlitis

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History: 46 yo male with history of leukemia and acute abdominal pain
Solution: Typhlitis is also know as neutropenic colitis and is acute inflammation of the cecum, appendix and sometimes the terminal ileum. It was initially described in children with leukemia, but can be seen in anyone with immune suppression. Causes include leukemic infiltrate, ischemia, focal pseudomembranous colitis, and infection. Findings include edema and often necrosis of the bowel wall, with perforation possible. It is treated with antibiotics, IV fluids, bowel rest, TPN, and surgery if needed.

CT Images

Questions

Where is the primary abnormality?
  • Small bowel
  • Retroperitoneum
  • Subcutaneous fat
  • Colon
  • Bones
Another finding that can be found with this disease is a palpable mass.
True
The most likely diagnosis is:
Typhlitis