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01-02-2015 | Case Report

Embolisation for caecal bleeding in a child with typhlitis

Authors: Manou S. de Lijster, Anne M. Smets, Henk van den Berg, Jim A. Reekers

Published in: Pediatric Radiology | Issue 2/2015

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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Title: Embolisation for caecal bleeding in a child with typhlitis
Authors: Manou S. de Lijster
Anne M. Smets
Henk van den Berg
Jim A. Reekers
Publication date: 01-02-2015
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Radiology / Issue 2/2015
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-014-3059-0

At a glance: The STEP trials

Springer Medicine

Embolisation for caecal bleeding in a child with typhlitis

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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