Duodenal bölge tutulumu ile seyreden mortal nötropenik enterokolit olgusu

Nötropenik enterokolit çoğunlukla akut lösemili hastalar gibi mukozal hasarı indükleme potansiyeli yüksek hastalığı olanları ve yoğun kemoterapötik rejimleri alan hastaları etkilemektedir. Burada kemoterapi devamında ateş, karın ağrısı, bulantı, kusma, karında şişkinlik, ishal, ağız içinde yara şikayetleri ile başvuran, batın BT’ de diffüz duodenum duvar kalınlaşması saptanan 34 yaşında akut lenfoblastik lösemi tanılı nötropenik enterokolit olgusu sunulmuştur. Olgumuzu sunmaya değer kılan duodenal bölge tutulumu ile seyreden nötropenik enterokolit olmasıdır.

Anahtar Kelimeler:

Akut lenfoblastik lösemi, kemoterapi, nötropenik enterokolit, Duodenum

Mortal neutropenic enterocolitis case with duodenal involvement

Neutropenic enterocolitis mostly affects patients with disease with a high potential to induce mucosal injury, such as patients with acute leukemia, and patients receiving intensive chemotherapeutic regimens. Here, we present a 34-year-old neutropenic enterocolitis case diagnosed with acute lymphoblastic leukemia and diffuse duodenal wall thickening on abdominal CT, who presented with fever, abdominal pain, nausea, vomiting, abdominal distention, diarrhea, and mouth sores following chemotherapy. What makes our case worth presenting is neutropenic enterocolitis with duodenal involvement.

Keywords:

Neutropenic enterocolitis, acute lymphoblastic leukemia, chemotherapy, Duodenum,

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