[Acute abdomen caused by phlegmonous appendicitis and leukemic infiltration of the cecum in a patient with acute lymphatic leukosis in relapse: clinico-therapeutic aspects].
We report a case of eleven years old child with an acute lymphoblastic leukemia who developed an acute abdomen while in haematological relapse. He had an acute appendicitis with leukemic infiltration of the coecum. The early surgical intervention and the coecum irradiation were successful: the following chemiotherapy achieved remission. A more aggressive surgical approach to the acute abdomen, combined with careful supportive measures, might improve the usually grim prognosis in patient whose leukemia offers a chance for remission.
D000006:Abdomen, Acute / Q000209:etiology*; D001064:Appendicitis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D002429:Cecal Diseases / Q000209:etiology; D002430:Cecal Neoplasms / Q000209:etiology*; D002432:Cecum / Q000473:pathology; D002648:Child; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology; D007945:Leukemia, Lymphoid / Q000150:complications* / Q000188:drug therapy; D008297:Male; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local; D011183:Postoperative Complications
Addome acuto da appendicite flemmonosa ed infiltrazione leucemica del cieco in un paziente con leucosi acuta linfatica in recidiva: aspetti clinico-terapeutici.