Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis
Yıl: 2021 Cilt: 28 Sayı: 2 Sayfa Aralığı: 294 - 299 Metin Dili: İngilizce DOI: 10.5505/vtd.2021.44370 İndeks Tarihi: 19-09-2022
Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis
Öz: Objective: Neutropenic Enterocolitis (NE) is a serious complication characterized by transmural inflammation of the large and small intestines, with especially the cecum. The diagnosis of NE is usually based on a combination of clinical and radiological findings, and the most reliable method in diagnosis is computed tomography (CT). In this study, we wanted to investigate which intestinal segments are affected in 15 patients we diagnose NE with CT and whether there is a relationship between intestinal involvement and prognosis. Materials and Methods: After the CTs of all patients were examined in detail, they were divided into groups according to the intestinal segments held. Then, by measuring the size of the intestinal wall where it is the thickest, it was investigated whether there is a relationship between intestinal involvement and prognosis. Results: We detected an increase in mucosal enhancement and wall thicknesses of at least 11 mm in the terminal ileum and other intestinal segments, primarily in the cecum and the ascending colon. The mesentery adjacent to the thickened intestinal segments had inflammatory contamination-heterogeneity and secondary mesenteric stranding, some local lymphadenopathies (LAPs), and free fluid appearance. Conclusion: As a result, we obtained detailed information in determining intestinal involvement, the length of the affected intestine segment and mesenteric involvement with contrasted abdominal CT. Assuming that the cecum and right colon are affected in almost all cases, we found that additionally terminal ileum involvement is more likely to aff
Anahtar Kelime: Nötropenik Enterokolitin Bilgisayarlı Tomografi Bulguları Ve Prognozla İlişkisi
Öz: Amaç: Nötropenik enterokolit (NE), başta çekum olmak üzere kalın ve ince bağırsakların transmural inflamasyonu ile karakterize ciddi bir komplikasyondur. NE tanısı genellikle klinik ve radyolojik bulguların bir kombinasyonuna dayanmakta olup tanıda en güvenilir yöntem bilgisayarlı tomografi (BT)’dir. Bu çalışmada BT ile NE tanısı koyduğumuz 15 hastada hangi bağırsak segmentlerinin etkilendiğini ve bağırsak tutulumu ile prognoz arasında bir ilişki olup olmadığını araştırmak istedik. Gereçler ve Yöntem: Tüm hastaların BT'leri detaylı bir şekilde incelendikten sonra tutulan bağırsak segmentlerine göre gruplara ayrıldı. Daha sonra en kalın olduğu yerdeki bağırsak duvarının boyutu ölçülerek bağırsak tutulumu ile prognoz arasında bir ilişki olup olmadığı araştırıldı. Bulgular: Başta çekum ve çıkan kolon olmak üzere terminal ileum ve diğer bağırsak segmentlerinde en az 11 mm olan cidar kalınlaşmaları ve mukozal kontrastlanmada artış saptadık. Kalınlaşmış bağırsak segmentlerine komşu mezenterde enflamatuvar kirlenme-heterojenite ve buna sekonder mezenterik stranding, yer yer LAP’lar ve serbest sıvı görünümleri mevcuttu. Tartışma: Sonuç olarak kontrastlı abdomen BT ile bağırsak tutulumunu saptamada, yaygınlığını belirlenmede ve mezenterik tutulumda detaylı bilgiler elde ettik. Çekum ve sağ kolonun hemen hemen tüm durumlarda etkilendiğini varsayarsak ilave sol kolon tutulumundansa ilave terminal ileum tutulumunun prognozu etkileme ihtimalini daha yüksek bulduk.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Gündüz A, toprak n (2021). Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis. , 294 - 299. 10.5505/vtd.2021.44370 |
| Chicago | Gündüz Ali Mahir,toprak nurşen Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis. (2021): 294 - 299. 10.5505/vtd.2021.44370 |
| MLA | Gündüz Ali Mahir,toprak nurşen Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis. , 2021, ss.294 - 299. 10.5505/vtd.2021.44370 |
| AMA | Gündüz A,toprak n Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis. . 2021; 294 - 299. 10.5505/vtd.2021.44370 |
| Vancouver | Gündüz A,toprak n Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis. . 2021; 294 - 299. 10.5505/vtd.2021.44370 |
| IEEE | Gündüz A,toprak n "Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis." , ss.294 - 299, 2021. 10.5505/vtd.2021.44370 |
| ISNAD | Gündüz, Ali Mahir - toprak, nurşen. "Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis". (2021), 294-299. https://doi.org/10.5505/vtd.2021.44370 |
| APA | Gündüz A, toprak n (2021). Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis. Van Tıp Dergisi, 28(2), 294 - 299. 10.5505/vtd.2021.44370 |
| Chicago | Gündüz Ali Mahir,toprak nurşen Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis. Van Tıp Dergisi 28, no.2 (2021): 294 - 299. 10.5505/vtd.2021.44370 |
| MLA | Gündüz Ali Mahir,toprak nurşen Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis. Van Tıp Dergisi, vol.28, no.2, 2021, ss.294 - 299. 10.5505/vtd.2021.44370 |
| AMA | Gündüz A,toprak n Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis. Van Tıp Dergisi. 2021; 28(2): 294 - 299. 10.5505/vtd.2021.44370 |
| Vancouver | Gündüz A,toprak n Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis. Van Tıp Dergisi. 2021; 28(2): 294 - 299. 10.5505/vtd.2021.44370 |
| IEEE | Gündüz A,toprak n "Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis." Van Tıp Dergisi, 28, ss.294 - 299, 2021. 10.5505/vtd.2021.44370 |
| ISNAD | Gündüz, Ali Mahir - toprak, nurşen. "Computerized Tomography Findings of Neutropenic Enterocolitis and Its Relationship With Prognosis". Van Tıp Dergisi 28/2 (2021), 294-299. https://doi.org/10.5505/vtd.2021.44370 |
