Typhlitis

from Wikipedia, the free encyclopedia

As Typhlitis ( Greek. : Τυφλός typhlos "blind") or appendicitis inflammation of the is the cecum and ascending colon (first third of the colon), and sometimes also called the terminal ileum. The terms neutropenic colitis , ileo-decal syndrome , cecitis and necrotizing enteropathy are used synonymously . The disease is distinguished from the inflammation of the appendix , the appendicitis (coll. "Appendicitis"), and in spite of the name relationship also from perityphlitischen abscess , which may arise in the context of appendicitis.

It is an inflammatory and sometimes necrotizing process of the intestinal sections involved, which usually occurs as part of neutropenia after chemotherapy of a malignant disease.

Typhlitis in children with leukemia receiving chemotherapy was first described. Apart from the conditions mentioned, the clinical focus is on fever and tenderness in the right lower abdomen. The clinical picture is more common in children (in the context of AML or ALL ) than in adults. Imaging shows an edematous widening of the intestinal wall, which, when computed tomography shows a thickening of the mucous membrane. In the colonic enema there is a narrowing process at the level of the cecum. Under certain circumstances occurs pneumatosis intestinalis on.

With chicken birds Typhlitis can also infestation of worms ( heterakis gallinarum caused).

Individual evidence

  1. ^ Carlos Thomas: Atlas of Infectious Diseases. Schattauer Verlag, 2010, ISBN 9783794527625 , p. 357.
  2. Günther Antes: Small bowel imaging diagnostics: Enteroclysis and other imaging procedures. Springer, 2013, ISBN 9783642603082 , pp. 152ff.
  3. ^ Richard Lucius, Brigitte Loos-Frank: Biology of Parasites. Springer, 2008, ISBN 9783540377092 , p. 402.