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Case Reports in Hematology
Volume 2014 (2014), Article ID 925078, 3 pages
http://dx.doi.org/10.1155/2014/925078
Case Report

Spontaneous Intestinal Perforation: An Atypical Presentation of Neutropenic Enterocolitis—A Case Report

1Pediatric Hematology-Oncology Department, Goztepe Education and Research Hospital, Istanbul Medeniyet University, 34722 Istanbul, Turkey
2Pediatric Surgery Department, Goztepe Education and Research Hospital, Istanbul Medeniyet University, 34722 Istanbul, Turkey

Received 8 January 2014; Accepted 3 February 2014; Published 6 March 2014

Academic Editors: S. Aref, N. Nara, and D. Rund

Copyright © 2014 Aylin Canbolat Ayhan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Neutropenic enterocolitis is one of the most common gastrointestinal complications seen in patients who are receiving chemotherapy for leukemia. Severe neutropenia is the main underlying factor of this pathology. It is characterized by fever and abdominal pain. Case Presentation. Herein, we report a case of neutropenic enterocolitis which presented with intestinal perforation in an afebrile patient who was diagnosed with acute lymphoblastic leukemia and was receiving induction chemotherapy. Conclusion. We aimed to emphasize the importance of enterocolitis and increase awareness against such severe complications which could have unexpected presentations.