Abstract
Cyclic neutropenia, a rare blood disorder, may be complicated by spontaneous necrosis of the cecum and ascending colon. We describe one such case, where a staged surgical approach achieved a successful outcome. The importance of recognition of this disorder is stressed, since this allows both performance of appropriate surgery and consultation with hematologic colleagues.
Similar content being viewed by others
References
Dunphy JE. Acute abdomen. In: Dunphy JE, Way LW, eds. Current surgical diagnosis and treatment. Los Altos: Lange Medical Publications, 1981:385–94.
Dale DC, Hammond WP. Cyclic neutropenia: a clinical review. Blood Rev 1988;2:178–85.
Bignold LP, Harvey HP. Necrotising enterocolitis associated with invasion byClostridium septicum complicating cyclic neutropenia. Aust N Z J Med 1979;9:426–9.
Kunkel JM, Rosenthal D. Management of the ileocecal syndrome: neutropenic enterocolitis. Dis Colon Rectum 1986;29:196–9.
Editorial.Clostridium septicum and neutropenic enterocolitis. Lancet 1987;2:608.
George WL, Finegold SM.Clostridia in the human gastrointestinal flora. In: Borrielo SP, ed.Clostridia in gastrointestinal disease. Boca Raton: CRC Press, 1985:1–37.
Amromin GD, Solomon RD. Necrotizing enteropathy: a complication of treated leukaemia or lymphoma patients. JAMA 1962;182:133–9.
Steinberg D, Gold J, Brodin A. Nectrotizing enterocolitis in leukaemia. Arch Intern Med 1973;131:538–44.
Leale M. Recurrent furunculosis in an infant showing an unusual blood picture. JAMA 1910;54:1854–5.
Geelhoed GW, Kane MA, Dale DC,et al. Colon ulceration and perforation in cyclic neutropenia. J Pediatr Surg 1973;8:379–82.
Irving MH. Assessment and management of external fistula in Crohn's disease. Br J Surg 1983;70:233–6.
Author information
Authors and Affiliations
About this article
Cite this article
O'Hanrahan, T., Dark, P. & Irving, M.H. Cyclic neutropenia—Unusual cause of acute abdomen. Dis Colon Rectum 34, 1125–1127 (1991). https://doi.org/10.1007/BF02050076
Issue Date:
DOI: https://doi.org/10.1007/BF02050076