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.
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de Lijster, M.S., Smets, A.M., van den Berg, H. et al. Embolisation for caecal bleeding in a child with typhlitis. Pediatr Radiol 45, 283–285 (2015). https://doi.org/10.1007/s00247-014-3059-0
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DOI: https://doi.org/10.1007/s00247-014-3059-0