ABSTRACT
Polyarteritis nodosa (PAN) is a rare type of childhood vasculitis. We report the case of a 10-year-old boy who was referred to our hospital following an appendicectomy with fever, abdominal pain, vomiting, diarrhoea, weight loss, joint pains and skin rash. Shortly after admission, he developed peritonitis, and an emergency laparotomy revealed ischaemia of the jejunum which required partial resection. Histologic examination of the resected bowel showed features consistent with PAN. He was treated with steroids and cyclophosphamide. Nineteen months later, he is asymptomatic and thriving. PAN should be included in the differential diagnosis if a child with constitutional symptoms also has gastrointestinal complaints or develops an acute abdomen.
Subject(s)
Abdominal Pain/etiology , Appendicitis/diagnosis , Child , Diagnostic Errors , Humans , Jejunal Diseases/complications , Jejunum/blood supply , Male , Polyarteritis Nodosa/complicationsABSTRACT
Causes of recurrent bowel intussusception in infancy are rarely identified and uncommon causes such as gluten sensitive enteropathy are not well recognized. We report a 3 year-old Saudi girl who presented with small bowel intussusception, which was diagnosed by abdominal CT. Investigations for concomitant failure to thrive revealed celiac disease. Her small bowel intussusception resolved completely when she was placed on a gluten free diet.
Subject(s)
Celiac Disease/complications , Child, Preschool , Diagnosis, Differential , Female , Humans , Intestine, Small , Intussusception/diagnosis , RecurrenceABSTRACT
We report the case of a 7-month-old boy who presented with a history of vomiting since birth. A computed tomography study showed circumferential thickening of the lower oesophageal wall with enhancement of the mucosa. After a period of antireflux medication, the patient underwent simultaneous oesophageal dilatation and Nissen fundoplication. He is doing well at 2-year follow up.