بسم الله الرحمن الرحيم. Typhlitis. By Hana’a Tashkandi Surgical Demonstrator KAAU. Typhlitis. Definition Epidemiology Pathophysiology Clinical presentation Complications D.D. Investigations Management Prognosis. What does it mean?. Typhlitis means inflammation of the cecum.
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Immunosuppression following renal
transplantation or during treatment of
Plain radiographs are nonspecific but may demonstrate a fluid-filled masslike density in the RLQ, distension of adjacent small bowel loops, and thumbprinting. Free intraperitoneal air and pneumatosis coli rarely are observed. Barium enema and colonoscopy are contraindicated in possible typhlitis because of perforation risk.
CT demonstrates circumferential and occasionally eccentric low-attenuation colonic wall thickening and cecal distension. High attenuation within the thickened colonic wall may represent hemorrhage. Inflammatory pericolonic stranding of mesenteric fat is common.
CT readily identifies complications, including pneumatosis coli, pneumoperitoneum, pericolonic fluid collections, and abscess. These complications may require urgent surgical management.
1) Cecostomy and drainage
2) A 2-stage right hemicolectomy or
total abdominal colectomy, with or
without a primary anastomosis
3) Defunctioning of the colon with a