Open AccessSurgery for complication of neutropenic enterocolitisin a patient with acute lymfoblast leukemia
Author(s) -
Spasoje Radulović,
Zoran Golubović,
Branislav Jovanovic,
Jelena Pejanovic
Publication year - 2004
Publication title -
srpski arhiv za celokupno lekarstvo
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 17
eISSN - 2406-0895
pISSN - 0370-8179
DOI - 10.2298/sarh04s1119r
Subject(s) - medicine , complication , neutropenia , surgery , vincristine , prednisone , perforation , enterocolitis , ileum , leukemia , daunorubicin , gastroenterology , chemotherapy , materials science , punching , metallurgy , cyclophosphamide
Neutropenic enterocolitis (NE) is an unusual acute complication of neutropenia, associated with leukemia and lymphoma. It has been observed mainly in the first phase of therapy when drugs are used in maximally tolerated dose. This is a case report of neutropenic enterocolitis in a patient with acute lymphoblast leukemia who received prednisone, vincristine, daunorubicin and L-asparaginase, with perforation of cecal and terminal ileum. Perforation and defect intestine wall was excised and sutured directly in two layers. Protective proximal loop ileostomy was performed at that time.