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American Journal of Roentgenology, Vol 143, Issue 4, 763-765
Copyright © 1984 by American Roentgen Ray Society

Articles

Computed tomography of neutropenic colitis

MP Frick, CW Maile, Crass JR, ME Goldberg, and JP Delaney

Four patients developed neutropenic colitis as a complication of acute leukemia (three) or aplastic anemia (one). On computed tomography (CT), neutropenic colitis was characterized by cecal wall thickening (four) and pneumatosis (one). Intramural areas of lower density presumably reflected edema or hemorrhage. Clinical improvement and return of adequate numbers of functioning neutrophils coincided with decrease in cecal wall thickening on CT. Prompt radiologic recognition of this serious condition is crucial, since surgical intervention is probably best avoided.
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