Embolisation for caecal bleeding in a child with typhlitis

Manou S. de Lijster, Anne M. Smets, Henk van den Berg, Jim A. Reekers

Research output: Contribution to journalArticleAcademicpeer-review

6 Citations (Scopus)

Abstract

A 16-year-old girl being treated for a relapse of promyelocytic leukaemia developed typhlitis of the caecum and ascending colon related to Klebsiella septicaemia during the neutropenic phase, 2 weeks after the start of induction treatment with chemotherapy. After 10 days of treatment with parenteral feeding and antibiotics, massive rectal blood loss occurred, causing haemodynamic instability. Contrast-enhanced abdominal CT showed contrast extravasation in the caecal lumen. This life-threatening situation prompted visceral angiography, which confirmed a contrast blush in the caecum. Subsequent embolisation resulted in haemodynamic stability
Original languageEnglish
Pages (from-to)283-285
JournalPediatric Radiology
Volume45
Issue number2
DOIs
Publication statusPublished - 2015

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