A Case of Segmental Nectotizing Jejunitis.
- Author:
Jee Hyung YOO
1
;
Hyo Shin KIM
;
Je Woo KIM
;
Ki Sup CHUNG
;
Suk Joo HAN
;
Ho Kun KIM
Author Information
1. Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Segmental necrotizing jejunitis;
Abdominal pain;
Bloody stool
- MeSH:
Abdominal Pain;
Anti-Bacterial Agents;
Child;
Early Diagnosis;
Edema;
Estrogens, Conjugated (USP);
Fever;
Gangrene;
Hemorrhage;
Humans;
Inflammation;
Korea;
Necrosis;
Smell;
Ulcer
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
1999;2(2):222-226
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Segmental necrotizing jejunitis is characterized by severe abdominal pain of acute onset, bilious vomitings and foul smelling loose stools containing blood. Pathologic features include circumferential intestinal wall inflammation ranging from edema with minimal congestion to severe congestion, hemorrhage with necrosis, ulceration, and gangrene with perforation. Early diagnosis and suitable supportive measures prevent unnecessary laparatomy and complications. There was no report of this disease entity in children in Korea. We experienced a case of segmental necrotizing jejunitis with fever, abdominal pain and bloody stools, which was diagnosed by exploration and was treated successfully by antibiotics and supportive measures.
