Prepared by Tejas Lodhawala, MD, Fellow, Arshad Shaikh, MD, Fellow, and Linda Carmosino, MD, Chief, Division of Hematology/Medical Oncology, Nassau University Medical Center, East Meadow, NY

A 52-year-old woman with acute myelogenous leukemia presents with a 2-day history of 102°F fever, right lower-quadrant abdominal pain with distention, nausea, vomiting, and watery diarrhea. She had received high-dose chemotherapy 10 days ago. Workup shows: hemoglobin, 8.4 g/dL; absolute neutrophil count, 50/μL; platelet count, 25 x 10³/μL. Computed tomography (CT) of the abdomen and pelvis confirmed the diagnosis (Figure).

What’s Your Diagnosis?
Acute appendicitis

Typhlitis

Pancreatitis

Diverticulitis