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Acute jejunoileal obstruction due to a pseudopolyp in a child with undiagnosed crohn disease: a case report.

Christianakis E, Pashalidis N, Kokkinou S, Pitiakoudis M, Mplevrakis E, Chorti M, Rizos S, Filippou D - J Med Case Rep (2008)

Bottom Line: Crohn's disease (CD) can affect any part of the alimentary tract from the mouth to the anus, with most common site being the terminal ileum.A child suffering from undiagnosed Crohn disease (CD), presented with an acute abdominal obstruction due to a large pseudopolyp in the jejunoileal area.The coexistence of an intestinal pseudopolyp with undiagnosed Crohn's disease may be the cause of acute abdominal obstruction in children.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pediatric Surgery, Pendeli's Children Hospital, Athens, Greece. xristinakis@in.gr

ABSTRACT

Introduction: Crohn's disease (CD) can affect any part of the alimentary tract from the mouth to the anus, with most common site being the terminal ileum.

Case presentation: A child suffering from undiagnosed Crohn disease (CD), presented with an acute abdominal obstruction due to a large pseudopolyp in the jejunoileal area. At laparotomy, a jejunoileal segment of 45 cm, containing multiple areas of damage to the small intestine, was excised and a primary end - to - end anastomosis was performed.

Conclusion: The coexistence of an intestinal pseudopolyp with undiagnosed Crohn's disease may be the cause of acute abdominal obstruction in children.

No MeSH data available.


Related in: MedlinePlus

Preoperative ultrasound showing the large pseudopolyp in the jejunoileal region.
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Figure 1: Preoperative ultrasound showing the large pseudopolyp in the jejunoileal region.

Mentions: A 12-year-old boy was brought to the emergency department with acute abdominal pain lasting 12 hours, and associated abdominal distension, absolute constipation for two days, vomiting and fever of 38.5°C. When examined he had general abdominal tenderness. White blood cell count was 17.5 k/ml with 85.5% neutrophils, hemoglobin was 10.9 gr/dl, hematocrit 34.7% and platelets 820 k/ml. Abdominal X-rays showed air-fluid levels. Abdominal ultrasound examination revealed a solid intraluminal pattern (Figure 1). The patient gave a history of referred intermittent abdominal pain for a period of 6 months. More detailed clinical information, such as diarrhea for the past 6 months, quick tiredness, no mood to play, lethargy and paleness, was obtained postoperatively.


Acute jejunoileal obstruction due to a pseudopolyp in a child with undiagnosed crohn disease: a case report.

Christianakis E, Pashalidis N, Kokkinou S, Pitiakoudis M, Mplevrakis E, Chorti M, Rizos S, Filippou D - J Med Case Rep (2008)

Preoperative ultrasound showing the large pseudopolyp in the jejunoileal region.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2277428&req=5

Figure 1: Preoperative ultrasound showing the large pseudopolyp in the jejunoileal region.
Mentions: A 12-year-old boy was brought to the emergency department with acute abdominal pain lasting 12 hours, and associated abdominal distension, absolute constipation for two days, vomiting and fever of 38.5°C. When examined he had general abdominal tenderness. White blood cell count was 17.5 k/ml with 85.5% neutrophils, hemoglobin was 10.9 gr/dl, hematocrit 34.7% and platelets 820 k/ml. Abdominal X-rays showed air-fluid levels. Abdominal ultrasound examination revealed a solid intraluminal pattern (Figure 1). The patient gave a history of referred intermittent abdominal pain for a period of 6 months. More detailed clinical information, such as diarrhea for the past 6 months, quick tiredness, no mood to play, lethargy and paleness, was obtained postoperatively.

Bottom Line: Crohn's disease (CD) can affect any part of the alimentary tract from the mouth to the anus, with most common site being the terminal ileum.A child suffering from undiagnosed Crohn disease (CD), presented with an acute abdominal obstruction due to a large pseudopolyp in the jejunoileal area.The coexistence of an intestinal pseudopolyp with undiagnosed Crohn's disease may be the cause of acute abdominal obstruction in children.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pediatric Surgery, Pendeli's Children Hospital, Athens, Greece. xristinakis@in.gr

ABSTRACT

Introduction: Crohn's disease (CD) can affect any part of the alimentary tract from the mouth to the anus, with most common site being the terminal ileum.

Case presentation: A child suffering from undiagnosed Crohn disease (CD), presented with an acute abdominal obstruction due to a large pseudopolyp in the jejunoileal area. At laparotomy, a jejunoileal segment of 45 cm, containing multiple areas of damage to the small intestine, was excised and a primary end - to - end anastomosis was performed.

Conclusion: The coexistence of an intestinal pseudopolyp with undiagnosed Crohn's disease may be the cause of acute abdominal obstruction in children.

No MeSH data available.


Related in: MedlinePlus