title: Passage of intestinal (small bowel) cast--an unusual complication of neutropenic sepsis.
abstract: A 52-year-old woman was admitted with neutropenic sepsis, 3 days following the final cycle of adjuvant chemotherapy for breast cancer. Her condition deteriorated with progressive abdominal distension, bilious vomiting and diarrhoea. Abdominal examination revealed a mild degree of peritonism. Five days later she passed a small bowel cast per rectum, showing gross fungal contamination on histology. She was managed conservatively with antibiotics and antifungal medications and nutritional support.
authors: Surgical Directorate, Princess Royal Hospital, Telford, UK. abdussamee2003@yahoo.co.uk
authors: A
authors: A
authors: Samee
authors: R M
authors: RM
authors: Kirby
authors: A M
authors: AM
authors: Brunt
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000188:drug therapy; D017024:Chemotherapy, Adjuvant / Q000009:adverse effects*; D003672:Defecation; D018450:Disease Progression; D005260:Female; D006801:Humans; D007413:Intestinal Mucosa / Q000382:microbiology*; D007421:Intestine, Small; D008875:Middle Aged; D009181:Mycoses / Q000175:diagnosis*; D009503:Neutropenia / Q000188:drug therapy / Q000209:etiology; D018805:Sepsis / Q000188:drug therapy / Q000209:etiology
chemical_list: D000900:Anti-Bacterial Agents; D000935:Antifungal Agents