Imaging in Oncology
Robert Clark, MD
Professor of Radiology
Chief, Radiology Service
H. Lee Moffitt Cancer Center Research Institute.
Case Description:
A 44yearold man developed
right lower quadrant abdominal pain while undergoing intensive chemotherapy
for acute myeloblastic leukemia. He had loose bowel movements without blood
in his stool. Physical examination revealed a body temperature of 37.8°C and
right lower quadrant tenderness without mass or rebound tenderness. The blood
count showed hemoglobin 9.4 mg/dL, white cells 800/mm-cubed, and platelets 80,000/mm-cubed.
The abdominal radiography
and computed tomography are shown in Fig 1. The best diagnosis is:
- 1. appendicitis
- 2. cecal intramural hemorrhage
- 3. neutropenic colitis
(typhlitis)
- 4. ischemic colitis
- 5. gastrointestinal leukemia
Click
here for the answer and discussion
Back
to Cancer Control Journal Volume 2 Number 6