Rapidly Progressive Small Bowel Necrosis in a Previously Healthy Child without Proven Mechanical Obstruction / 대한소아소화기영양학회지
Pediatric Gastroenterology, Hepatology & Nutrition
;
: 291-297, 2019.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Appendicite
/
Examen physique
/
Diagnostic
/
Urgences
/
Abdomen
/
Ischémie mésentérique
/
Hospitalisation
/
Intestin grêle
/
Intussusception
/
Ischémie
Type d'étude:
Etude diagnostique
/
Étude pronostique
Limites du sujet:
Enfant
/
Humains
langue:
Anglais
Texte intégral:
Pediatric Gastroenterology, Hepatology & Nutrition
Année:
2019
Type:
Article
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