Neutropenic Enterocolitis in a Child with Acute Myeloid Leukemia Successfully Treated with Early Surgical Intervention
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- Lingutla, A.K., Anand, A.S., Shah, S.A. et al. Indian J Hematol Blood Transfus (2013) 29: 181. doi:10.1007/s12288-012-0176-5
Neutropenic entrocolitis (NE) is a life threatening complication of acute leukemia. The case presented here is of a 12 year old boy with acute myeloid leukemia, who developed neutropenic enterocolitis after induction with BFM-93 protocol. Patient underwent exploratory laparotomy during grade 4 neutropenia after failure on conservative line of management of NE. Patient withstood the procedure with supportive care and recovered. This case is reported because NE is a rare but potentially fatal complication and there are no clear guidelines for surgical intervention.