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SM Journal of Pediatric Surgery

Acute Segmental Necrotising Enteritis, Presenting with Transient Protein Losing Enteropathy and Bleeding Diathesis in a Child Managed Surgically: A Case Report

[ ISSN : 2573-3419 ]

Abstract
Details

Received: 11-Jun-2016

Accepted: 20-Jul-2016

Published: 25-Jul-2016

Case Report | Volume 2 - Issue 4 | Article DOI :

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Priyantha Goyall¹, Satish Nunna¹, Shaji Thomas John², and Satish Kumar Kolar Venkatesh³*

¹Department of Child and Adolescent Health, Pediatric Registrar, Baby Memorial Hospital, India

²Department of Child and Adolescent Health, Chief of Pediatrics and Director, Baby Memorial Hospital, India

³Department of Child and Adolescent Health, Consultant Pediatric Surgeon, Baby Memorial Hospital, India

Corresponding Author:

Satish Kumar KolarVenkatesh, Department of Child and Adolescent Health, Consultant Pediatric Surgeon, Baby Memorial Hospital, India, Email: satishpushpa@gmail.com

Keywords

Non neonatal necrotizing enteritis; Segmental enteritis; Pig- bel

Abstract

Background: Necrotizing enteritis is a rare cause of small intestinal obstruction reported mainly from Asian sub-continent. The clinical presentation is of acute gastroenteritis followed by features of bowel obstruction. We present a child who had a rare complication of necrotizing enteritis, unreported in literature.

Case Characteristics: Five year old girl presented with 1 month history of worsening vomiting, altered bowel habits and recently developed petechiae and pedal edema. Child had features of small bowel obstruction and after resuscitation underwent emergency surgery.

Intervention/Outcome: Laparoscopy showed features of necrotizing jejunitis and a formal laparotomy with resection of diseased segment lead to rapid recovery.

Conclusion: High index of suspicion is needed to diagnose necrotizing enteritis. Though most cases can be managed conservatively, clinical deterioration and development of complications may necessitate surgical intervention.

Citation

Goyal P, Nunna S, John ST and Venkatesh SKK. Acute Segmental Necrotising Enteritis, Presenting with Transient Protein Losing Enteropathy and Bleeding Diathesis in a Child Managed Surgically: A Case Report. SM J Pediatr Surg. 2016; 2(4): 1026.