Radiation enteritis and colitis (acute)

Discussion:

The patient was treated with radiation as an adjuvant therapy for cervical cancer after an operation and developed acute abdominal pain and elevated renal function tests. Radiological findings as mentioned above were suggestive of acute radiation enteritis and pelvic radiotherapy was not completed.

A follow-up 5 months after cessation of radiation therapy showing near complete resolution of the earlier documented inflammatory changes in the bowel. Mild residual hydroureteronephrosis on right side.

In this clinical setting, the appearances are consistent with radiation enteritis

Top differential diagnoses include:

  • Crohn's disease
  • metastases/lymphoma
  • ischemic enteritis.
  • primary bowel tumor
Loading...