| A Case of Ischemic Enteritis |
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Ran Lee1, Jeong Kee Seo1, Kwi won Park2, Jong Je Kim3 |
1Department of Pediatrics, College of Medicine, Seou lNational University, Seoul, Korea
2Department of Surgery, College of Medicine, Seou lNational University, Seoul, Korea
3Department of pathology, College of Medicine, Seou lNational University, Seoul, Korea |
| 허혈성 장염 1례 |
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ì´ëž€1, ì„œì •ê¸°1, ë°•ê·€ì›2, 김종재3 |
1ì„œìš¸ëŒ€í•™êµ ì˜ê³¼ëŒ€í•™ 외과학êµì‹¤
2ì„œìš¸ëŒ€í•™êµ ì˜ê³¼ëŒ€í•™ 외과학êµì‹¤
3ì„œìš¸ëŒ€í•™êµ ì˜ê³¼ëŒ€í•™ 해부병리학êµì‹¤ |
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| Abstract |
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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. |
| Key Words:
Ischemic Enteritis, Children |
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