Delayed neutropenic enterocolitis in a 12-year-old girl treated with totalcolectomy and J-pouch reservoir

Neutropenic enterocolitis (NE) is a clinicopathologic condition characteriz ed by bowel wall inflammation, which can proceed to necrosis and perforatio n. It is mostly seen in neutropenic patients with leukemia who undergo indu ction treatment with chemotherapy. Most often the cecum is involved. The au thors present a 12-year-old girl with acute lymphocytic leukemia who, under maintenance therapy, experienced NE. The disease was localized to the left side of colon, and even the rectum was involved, which is an unusual local ization of the disease. An ileoanal anastomosis with a J-pouch was done in a second operation with a good outcome. Copyright (C) 2001 by W.B. Saunders Company.