J Korean Pediatr Soc.
1997 Feb;40(2):255-259.
A Case of Ischemic Enteritis
- Affiliations
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- 1Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea.
- 2Department of Surgery, College of Medicine, Seoul National University, Seoul, Korea.
- 3Department of Pathology, College of Medicine, Seoul National University, Seoul, Korea.
Abstract
- Ischemic enteritis is caused by embolism or thrombosis of superior mesenteric artery and nonocclusive ischemia. Mesenteric venous thrombosis, drugs, and vasculitis are less frequent etiologic factors. In children, occlusion of microcirculation by fibrin thrombi initiated by endotoxemia may be an etiology. Severe abdominal pain, vomiting, and diarrhea with evidence of gross or microscopic bleeding are common presenting symptoms. Angiography may be diagnositic and permit therapeutic intervention. Revascularization with resection of necrotic bowel is the treatment of choice. We experienced a case of ischemic enteritis that was presented with projectile vomiting and diarrhea. Diagnosis was confirmed histologically. Radiological findings suggested multiple adhesive ileus. Laparatomy was followed by resection of the necrotic bowel.
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