title: Embolisation for caecal bleeding in a child with typhlitis.
abstract: A 16-year-old girl being treated for a relapse of promyelocytic leukaemia developed typhlitis of the caecum and ascending colon related to Klebsiella septicaemia during the neutropenic phase, 2 weeks after the start of induction treatment with chemotherapy. After 10 days of treatment with parenteral feeding and antibiotics, massive rectal blood loss occurred, causing haemodynamic instability. Contrast-enhanced abdominal CT showed contrast extravasation in the caecal lumen. This life-threatening situation prompted visceral angiography, which confirmed a contrast blush in the caecum. Subsequent embolisation resulted in haemodynamic stability.
authors.affiliation: Department of Radiology, Academic Medical Centre, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands, m.s.delijster@amc.uva.nl.
authors.forename: Manou S
authors.initials: MS
authors.lastname: de Lijster
authors.forename: Anne M
authors.initials: AM
authors.lastname: Smets
authors.forename: Henk
authors.initials: H
authors.lastname: van den Berg
authors.forename: Jim A
authors.initials: JA
authors.lastname: Reekers
mesh_terms: D000293:Adolescent; D000792:Angiography; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D015473:Leukemia, Promyelocytic, Acute / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D009364:Neoplasm Recurrence, Local; D014057:Tomography, X-Ray Computed; D053706:Typhlitis / Q000209:etiology* / Q000628:therapy*