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Case of the Week 387



What is the most likely diagnosis?

  • 37 year old man with leukemia and RLQ pain



Axial CT scan of lower abdomen

  1. Psoas hematoma
  2. Diverticulitis
  3. Ogilvie's syndrome
  4. Carcinoid tumor
  5. Typhlitis

Additional Image - Coronal CT reconstruction of abdomen

 

 

Additional Images

 

Coronal CT reconstruction of abdomen


Answer:

.


5. Typhlitis

.

.

More (Click Discussion Tab)


Typhlitis

 General Considerations

  • Seen in neutropenic patients undergoing immunosuppressive therapy for malignancy
  • May also present in patients with aplastic anemia, AIDS, lymphoma, or after immunosuppressive therapy s/p solid organ transplant
  • True incidence is unknown
 

More . . .


.

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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.