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Rapidly Progressive Small Bowel Necrosis in a Previously Healthy Child without Proven Mechanical Obstruction / 대한소아소화기영양학회지
Pediatric Gastroenterology, Hepatology & Nutrition ; : 291-297, 2019.
Article in English | WPRIM | ID: wpr-741835
ABSTRACT
Bowel ischemia is a life-threatening surgical emergency. We report a case of rapidly progressive bowel necrosis in a previously healthy child without proven mechanical small bowel obstruction. The definite diagnosis was established at the time of an exploratory operation. Of note, imaging studies and even a laparotomy did not reveal any evidence of acute appendicitis or mechanical obstruction such as intussusception or Meckel's diverticulum. During hospitalization, since we could not rule out surgical abdomen after inconclusive image findings, we closely followed the patient and repeated physical examinations carefully. Eventually surgical exploration was performed based on changes in clinical condition, which proved to be the right decision for the patient. We propose that in children with suspected strangulation of small bowel obstruction, especially when imaging findings do not provide a conclusive diagnosis, the timely exploratory surgical approach ought to be chosen based on carefully observed clinical findings and other evaluations.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Appendicitis / Physical Examination / Diagnosis / Emergencies / Abdomen / Mesenteric Ischemia / Hospitalization / Intestine, Small / Intussusception / Ischemia Type of study: Diagnostic study / Prognostic study Limits: Child / Humans Language: English Journal: Pediatric Gastroenterology, Hepatology & Nutrition Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Appendicitis / Physical Examination / Diagnosis / Emergencies / Abdomen / Mesenteric Ischemia / Hospitalization / Intestine, Small / Intussusception / Ischemia Type of study: Diagnostic study / Prognostic study Limits: Child / Humans Language: English Journal: Pediatric Gastroenterology, Hepatology & Nutrition Year: 2019 Type: Article