Acute Abdomen in Post-chemotherapy Acute Monoblastic Leukemia
A neutropenic patient with an acute abdomen could confuse the medical doctor in the decision making of whether or not a surgical intervention is essential to resolve the medical problem. Here, we report a 62-yearold female with acute monoblastic leukemia that was complicated by neutropenic fever and...
| Autores principales: | , , , , |
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| Formato: | Artículo |
| Lenguaje: | English |
| Publicado: |
Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2007-12-01
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| Colección: | International Journal of Gerontology |
| Materias: | |
| Acceso en línea: | http://www.sciencedirect.com/science/article/pii/S1873959808700413 |
| _version_ | 1828783594546397184 |
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| author | Shih-Yi Lee Jian-Hong Lin Chuan-Tsai Lai Kuo-Song Chang Shou-Chuan Shih |
| author_facet | Shih-Yi Lee Jian-Hong Lin Chuan-Tsai Lai Kuo-Song Chang Shou-Chuan Shih |
| author_sort | Shih-Yi Lee |
| collection | DOAJ |
| description | A neutropenic patient with an acute abdomen could confuse the medical doctor in the decision making of whether or not a surgical intervention is essential to resolve the medical problem. Here, we report a 62-yearold female with acute monoblastic leukemia that was complicated by neutropenic fever and abdominal pain on the 13th day after receiving the first chemotherapy consisting of 1-beta-D-arabinofuranosylcytosine and idarubicin. Abdominal computed tomography revealed colitis involving the entire ascending colon. Neutropenic enterocolitis with Enterobacter cloacae septicemia was the final diagnosis. She received conservative management with close observation and recovered eventually. We discuss the etiologies of acute abdomen in patients receiving chemotherapy and their differential diagnosis. |
| first_indexed | 2024-12-11T23:15:05Z |
| format | Article |
| id | doaj.art-d9201d62d4cb4aebb29b20f45dbaadb0 |
| institution | Directory Open Access Journal |
| issn | 1873-9598 |
| language | English |
| last_indexed | 2024-12-11T23:15:05Z |
| publishDate | 2007-12-01 |
| publisher | Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
| record_format | Article |
| series | International Journal of Gerontology |
| spelling | doaj.art-d9201d62d4cb4aebb29b20f45dbaadb02022-12-22T00:46:34ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982007-12-011416416710.1016/S1873-9598(08)70041-3Acute Abdomen in Post-chemotherapy Acute Monoblastic LeukemiaShih-Yi Lee0Jian-Hong Lin1Chuan-Tsai Lai2Kuo-Song Chang3Shou-Chuan Shih4Division of Chest Medicine, Mackay Memorial Hospital, Taipei, TaiwanDivision of Hema-Oncology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Internal Medicine, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Emergency Medicine, Mackay Memorial Hospital, Taipei, TaiwanGastroenterology Division, Mackay Memorial Hospital, Taipei, TaiwanA neutropenic patient with an acute abdomen could confuse the medical doctor in the decision making of whether or not a surgical intervention is essential to resolve the medical problem. Here, we report a 62-yearold female with acute monoblastic leukemia that was complicated by neutropenic fever and abdominal pain on the 13th day after receiving the first chemotherapy consisting of 1-beta-D-arabinofuranosylcytosine and idarubicin. Abdominal computed tomography revealed colitis involving the entire ascending colon. Neutropenic enterocolitis with Enterobacter cloacae septicemia was the final diagnosis. She received conservative management with close observation and recovered eventually. We discuss the etiologies of acute abdomen in patients receiving chemotherapy and their differential diagnosis.http://www.sciencedirect.com/science/article/pii/S1873959808700413abdominal painchemotherapygerontologyneutropenic enterocolitistyphlitis |
| spellingShingle | Shih-Yi Lee Jian-Hong Lin Chuan-Tsai Lai Kuo-Song Chang Shou-Chuan Shih Acute Abdomen in Post-chemotherapy Acute Monoblastic Leukemia International Journal of Gerontology abdominal pain chemotherapy gerontology neutropenic enterocolitis typhlitis |
| title | Acute Abdomen in Post-chemotherapy Acute Monoblastic Leukemia |
| title_full | Acute Abdomen in Post-chemotherapy Acute Monoblastic Leukemia |
| title_fullStr | Acute Abdomen in Post-chemotherapy Acute Monoblastic Leukemia |
| title_full_unstemmed | Acute Abdomen in Post-chemotherapy Acute Monoblastic Leukemia |
| title_short | Acute Abdomen in Post-chemotherapy Acute Monoblastic Leukemia |
| title_sort | acute abdomen in post chemotherapy acute monoblastic leukemia |
| topic | abdominal pain chemotherapy gerontology neutropenic enterocolitis typhlitis |
| url | http://www.sciencedirect.com/science/article/pii/S1873959808700413 |
| work_keys_str_mv | AT shihyilee acuteabdomeninpostchemotherapyacutemonoblasticleukemia AT jianhonglin acuteabdomeninpostchemotherapyacutemonoblasticleukemia AT chuantsailai acuteabdomeninpostchemotherapyacutemonoblasticleukemia AT kuosongchang acuteabdomeninpostchemotherapyacutemonoblasticleukemia AT shouchuanshih acuteabdomeninpostchemotherapyacutemonoblasticleukemia |