| Multiple intestinal stenoses and peripheral gangrene: a combination of two rare surgical complications in a child with Kawasaki disease. | |
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MedLine Citation:
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PMID: 11283900 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Kawasaki disease (KD) often presents with a challenging variety of clinical symptoms. Severe gastrointestinal complications are rare and mainly appear as pseudo-obstruction. However, the authors report the unique case of a 4-month-old girl with KD suffering from a mechanical ileus. The optimal timing of surgery presented a dilemma, because she received lytic treatment for gangrenes of both her hands and feet and additionally had large coronary artery aneurysms. Finally laparotomy had to be performed while the patient was on an anticoagulant medication, and it showed a 30-cm-long jejunal segment with multiple filiforme stenoses, requiring resection and anastomosis. The postoperative course was uneventful regarding the abdominal situation; however, the left hand and left foot remained gangrenous and had to be amputated. In patients with KD, not only pseudo-obstruction, but irreversible intestinal obliteration has to be encountered. This combination of intestinal stenosis and acral gangrene has not been described before. J Pediatr Surg 36:651-653. |
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Authors:
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C Krohn; H Till; S Haraida; K Kurnik; R Boehm; R Grantzow; I Joppich |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 36 ISSN: 0022-3468 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2001 Apr |
Date Detail:
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Created Date: 2001-04-03 Completed Date: 2001-09-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 651-3 Citation Subset: IM |
Copyright Information:
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Copyright 2001 by W.B. Saunders Company. |
Affiliation:
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Department of Pediatric Surgery, University of Munich, Lindwurmstr. 4, D-80337 Munich, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Amputation Female Follow-Up Studies Foot / pathology* Gangrene / diagnosis, etiology, surgery Hand / pathology* Humans Infant Intestinal Obstruction / diagnosis, etiology, surgery*, therapy* Jejunal Diseases / diagnosis, etiology, therapy* Laparotomy / methods Mucocutaneous Lymph Node Syndrome / complications*, therapy* Risk Assessment Severity of Illness Index |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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