Neutropenic Enterocolitis in a Child with Acute Myeloid Leukemia Successfully Treated with Early Surgical Intervention

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• 作者：Arun Kumar Lingutla (1)
  Asha S. Anand (1)
  Sandip A. Shah (1)
  Apurva A. Patel (1)
  Sumit Kumar (1)
  Pankaj M. Shah (1)
  Shilin N. Shukla (1)
  Bharat J. Parikh (1)
  Shailesh S. Talati (1)
  Harsha Panchal (1)
  Sonia Parikh (1)
  Bhavesh B. Parekh (1)
  Shivani J. Bhatt (1)
  
• 刊名：Indian Journal of Hematology and Blood Transfusion
• 出版年：2013
• 出版时间：September 2013
• 年：2013
• 卷：29
• 期：3
• 页码：181-183
• 全文大小：147KB
• 参考文献：1. Wach M, Dmoszynska A, Wasik-Szczepanek E, Pozarowski A, Drop A, Szczepanek D (2004) Neutropenic enterocolitis: a serious complication during the treatment of acute leukemias. Ann Hematol 83(8):522-26 Epub 2003 CrossRef
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  10. Dorantes-Díaz D, Garza-Sánchez J, Cancino-López JA (2009) Prevalence of neutropenic enterocolitis in adults with severe neutropenia and associated mortality. Rev Gastroenterol Mex 74(3):224-29
  
• 作者单位：Arun Kumar Lingutla (1)
  Asha S. Anand (1)
  Sandip A. Shah (1)
  Apurva A. Patel (1)
  Sumit Kumar (1)
  Pankaj M. Shah (1)
  Shilin N. Shukla (1)
  Bharat J. Parikh (1)
  Shailesh S. Talati (1)
  Harsha Panchal (1)
  Sonia Parikh (1)
  Bhavesh B. Parekh (1)
  Shivani J. Bhatt (1)
  
  1. Department of Medical Oncology and Paediatric Surgery, The Gujarat Cancer & Research Institute, NCH Campus, Asarva, Ahmedabad, Gujarat, 380016, India
  
• ISSN：0974-0449

文摘

Neutropenic entrocolitis (NE) is a life threatening complication of acute leukemia. The case presented here is of a 12?year old boy with acute myeloid leukemia, who developed neutropenic enterocolitis after induction with BFM-93 protocol. Patient underwent exploratory laparotomy during grade 4 neutropenia after failure on conservative line of management of NE. Patient withstood the procedure with supportive care and recovered. This case is reported because NE is a rare but potentially fatal complication and there are no clear guidelines for surgical intervention.