Frick M P, Maile C W, Crass J R, Goldberg M E, Delaney J P
AJR Am J Roentgenol. 1984 Oct;143(4):763-5. doi: 10.2214/ajr.143.4.763.
Four patients developed neutropenic colitis as a complication of acute leukemia (three) or aplastic anemia (one). On computed tomography (CT), neutropenic colitis was characterized by cecal wall thickening (four) and pneumatosis (one). Intramural areas of lower density presumably reflected edema or hemorrhage. Clinical improvement and return of adequate numbers of functioning neutrophils coincided with decrease in cecal wall thickening on CT. Prompt radiologic recognition of this serious condition is crucial, since surgical intervention is probably best avoided.
4例患者发生中性粒细胞减少性结肠炎,作为急性白血病(3例)或再生障碍性贫血(1例)的并发症。在计算机断层扫描(CT)上,中性粒细胞减少性结肠炎的特征为盲肠壁增厚(4例)和气肿(1例)。壁内低密度区域可能反映水肿或出血。临床改善以及功能正常的中性粒细胞数量恢复与CT上盲肠壁增厚减轻同时出现。对这种严重疾病进行及时的影像学识别至关重要,因为最好避免手术干预。