Hagiwara S, Togano T, Kajiwara K, Otake H, Owada A, Hayama M, Akiyama N, Horie R, Higashihara M
Fourth Department of Internal Medicine, Kitasato University School of Medicine.
Rinsho Ketsueki. 2001 Feb;42(2):81-8.
Neutropenic enteritis is a septic or inflammatory disease of the colon. It is usually encountered in patients with hematological malignancy who have undergone chemotherapy, and it presents as fever, diarrhea, and abdominal pain, although the symptoms are not always specific. The diagnostic features of neutropenic enteritis revealed by barium enema, CT and ultrasonography have been reported previously. Here we report 4 cases of neutropenic enteritis in which ultrasound was used for diagnosis, and also for monitoring the clinical course of the disease. Because neutropenic enteritis is rapidly progressive, early diagnosis and therapeutic intervention are required. We believe that ultrasonography is a useful method for examining patients with neutropenic enteritis, being noninvasive, mobile, and providing rapid results in real time, thus aiding early diagnosis and clinical follow-up.
中性粒细胞减少性小肠结肠炎是结肠的一种感染性或炎症性疾病。它通常见于接受化疗的血液系统恶性肿瘤患者，表现为发热、腹泻和腹痛，不过症状并不总是具有特异性。先前已有关于钡灌肠、CT和超声检查所揭示的中性粒细胞减少性小肠结肠炎诊断特征的报道。在此，我们报告4例使用超声进行诊断并监测疾病临床进程的中性粒细胞减少性小肠结肠炎病例。由于中性粒细胞减少性小肠结肠炎进展迅速，需要早期诊断和治疗干预。我们认为超声检查是检查中性粒细胞减少性小肠结肠炎患者的一种有用方法，它无创、可移动且能实时快速给出结果，有助于早期诊断和临床随访。
