EURORAD ESR

Case 8844

Neutropenic colitis: CT findings

Author(s)
Ginanni B, Turturici L, Perrone E, Zingoni G, Mauro E, Bianchi F, Cerri F, Giusti P, Caramella D, Bartolozzi C.
 
Patient
female, 40 year(s)
 
 
  • Figure 1
    Abdominal CT scan
     

    Severe ascites extending to upper abdomen.

     
    Area of Interest: Abdomen; Imaging Technique: CT;

    Dffuse thickening of the proximal colonic wall (cecum - transverse colon).

     

    The thickened colon is isodense to normal gut with intramural areas of lower density and sorrounded by adipose tissue edema and by severe ascites.

     

    The thickened colon is isodense to normal gut with intramural areas of lower density and sorrounded by adipose tissue edema and by severe ascites.

     

    Ileum adjacent to the abnormal cecum is slightly distended.

     

    Severe ascites extending to lower abdomen.

     
     
     
  • Figure 2
    Histology of resected bowel wall (cecum)
     

    Necrosis of mucosal and submucosal bowel wall.

     

    Associated intramural haemorrhage, oedema and ulceration.

     

    Mucosal ulceration.

     
     
     
Severe ascites extending to upper abdomen.
 
Dffuse thickening of the proximal colonic wall (cecum - transverse colon).
 
The thickened colon is isodense to normal gut with intramural areas of lower density and sorrounded by adipose tissue edema and by severe ascites.
 
The thickened colon is isodense to normal gut with intramural areas of lower density and sorrounded by adipose tissue edema and by severe ascites.
 
Ileum adjacent to the abnormal cecum is slightly distended.
 
Severe ascites extending to lower abdomen.
 
Necrosis of mucosal and submucosal bowel wall.
 
Associated intramural haemorrhage, oedema and ulceration.
 
Mucosal ulceration.
 
 
 
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