This appearance is typical of neutropenic typhlitis. The patient was operated and revealed multiple small ulcers involving the cecum with an extremely small perforation. The neutrophil count was brought back to normal and the patient improved. There is edema and inflammation of the cecum and ascending colon, which can be very severe and lead to transmural necrosis and perforation. The exact cause is not known, but probably occurs due to a combination of ischemia, infection, hemorrhage and probably neoplastic infiltration.
Resolution usually corresponds to adequate neutrophil levels.