All issues > Volume 40(2); 1997

Case Report

J Korean Pediatr Soc. 1997;40(2):254-259. Published online February 15, 1997.

A Case of Ischemic Enteritis

Ran R Lee¹, Jeong Kee JK Seo¹, Kwi won Kw Park², Jong Je JJ 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

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.

Keywords :Ischemic Enteritis, Children