Journal Detail Information

1

Cite

Share

A Case of Gastroduodenal Fistula Caused byIngested Magnetic Foreign Bodies.

Won Hee LEE ; Young Don MIN ; Kyung Rye MOON

Korean Journal of Pediatric Gastroenterology and Nutrition.2008;11(1):84-88.

If multiple magnets are ingested, the potential exists for the magnets attracting one another across the gastrointestinal tract and inducing pressure necrosis, perforation, fistula formation, or intestinal obstruction. We report the case of a 12-year-old boy who suffered from a fistulous communication between the lesser curvature of the mid-body of the stomach and the duodenal bulb, caused by 4 ingested magnets (Singing Magnets, China). The patient presented with moderate mental retardation, a one-year history of cyclic vomiting, and abdominal discomfort. We present the findings of simple abdominal radiography, esophagogastroduodenoscopy, computed tomography, and upper gastrointestinal series. An emergency exploratory laparotomy was performed, which revealed a gastroduodenal fistula. Fistula repair and the removal of 4 magnetic toys were subsequently performed. We emphasize that clinicians who care for children should be aware of the hazards of magnetic toy ingestion.
Child ; Emergencies ; Endoscopy, Digestive System ; Fistula ; Foreign Bodies ; Gastrointestinal Tract ; Humans ; Intellectual Disability ; Intestinal Obstruction ; Laparotomy ; Magnetics ; Magnets ; Necrosis ; Play and Playthings ; Radiography, Abdominal ; Stomach ; Vomiting

2

Cite

Share

Multiple Intestinal Perforations in a Child with Behcet's Disease.

Kum Ok CHOI ; Hong KOH ; Ki Sup CHUNG

Korean Journal of Pediatric Gastroenterology and Nutrition.2008;11(1):80-83.

Behcet's disease (BD) is a multisystem inflammatory disorder dominated clinically by recurrent oral and genital ulceration, uveitis and erythema nodosum. BD is very rare in children, especially those less than 10 years of age, who account for only an estimated 5% of all cases. Gastrointestinal ulcers, in patients with Behcet's disease with intestinal involvement are rare and have been reported in only 1-2% of all cases. The intestinal ulcers of Behcet's disease are usually multiple and scattered and tend to cause perforations associated with significant morbidity. Patients with BD and abdominal symptoms must be evaluated thoroughly for potential perforation of the gastrointestinal tract. Here we report the case of a 4 year 9 month old child with multiple perforations of the gastrointestinal tract associated with BD.
Child ; Erythema Nodosum ; Gastrointestinal Tract ; Humans ; Intestinal Perforation ; Ulcer ; Uveitis

3

Cite

Share

Acute Pancreatitis Associated with Varicella Infectionin an Immunocompetent Child.

Ki Won OH ; Joon Sung KIM ; Ja Hyeong KIM ; Sang Kyu PARK ; Jin Young JEONG

Korean Journal of Pediatric Gastroenterology and Nutrition.2008;11(1):75-79.

Blunt trauma, drugs, infection, congenital anomalies of the pancreaticobiliary system, and multisystem diseases are the main causes of acute pancreatitis in children. Various viruses can cause acute pancreatitis, but varicella-induced pancreatitis is unusual and generally observed in adults or immunocompromised patients. We report a rare case of acute pancreatitis associated with varicella-zoster virus infection in a 6-year-old immunocompetent girl. The patient initially presented complaining of severe abdominal pain and repetitive vomiting. The patient had multiple cutaneous crusts that has been caused by preceding varicella infection and had elevated values of serum amylase and lipase. Abdominal ultrasonography demonstrated swelling of the pancreas and pancreatic duct dilatation, findings which were compatible with acute pancreatitis. The patient's clinical and laboratory abnormalities were completely normalized through conservative treatment consisting of fasting, total parenteral nutrition, and analgesic therapy.
Abdominal Pain ; Adult ; Amylases ; Chickenpox ; Child ; Dilatation ; Fasting ; Herpesvirus 3, Human ; Humans ; Immunocompromised Host ; Lipase ; Pancreas ; Pancreatic Ducts ; Pancreatitis ; Parenteral Nutrition, Total ; Vomiting

4

Cite

Share

A Case of Herpes simplex Esophagitis in an Immunocompetent Boy.

Joong Suk YEO ; Je Deok JEON ; Soo Hee CHANG

Korean Journal of Pediatric Gastroenterology and Nutrition.2008;11(1):70-74.

Herpes simplex virus has rarely been identified as a cause of esophagitis in immunocompetent children. This virus affects predominantly males presenting with symptoms of fever, odynophagia, dysphagia, and retrosternal pain of acute onset. Esophagoscopy typically reveals exudative well-circumscribed ulcerations of the distal and/or mid-esophagus. Further investigations using biopsy, viral culture, polymerase chain reaction (PCR), and seroconversion of antibodies to Herpes simplex are recommended to assist with a definitive diagnosis. This esophagitis is often a self-limited infection in immunocompetent children. Nevertheless, antiviral treatment may expedite symptom relief with Herpes simplex virus infection. It is imperative to document herpes esophagitis in cases with subsequent severe odynophagia in immunocompetent children. Here we present the case of a 12-year-old immunocompetent boy with herpes esophagitis.
Antibodies ; Biopsy ; Child ; Deglutition Disorders ; Esophagitis ; Esophagoscopy ; Fever ; Herpes Simplex ; Humans ; Male ; Methylmethacrylates ; Polymerase Chain Reaction ; Polystyrenes ; Simplexvirus ; Ulcer ; Viruses

5

Cite

Share

A Case of Spontaneous Resolution of Bile Plug Syndrome in a 4-year-old Girl.

Keum Bong JEE ; Jun Young SONG ; Ki Yang YOU ; Ki Sik MIN ; Deok Ha KIM ; Kwan Seop LEE

Korean Journal of Pediatric Gastroenterology and Nutrition.1999;2(2):262-266.

Bile* ; Child, Preschool* ; Female* ; Humans

6

Cite

Share

A Case of Diencephalic Syndrome Presented as Failure to Thrive from Three Month of Age.

Seung Soo KIM ; Sung Shin KIM ; Jae Ock PARK ; Chang Whi KIM

Korean Journal of Pediatric Gastroenterology and Nutrition.2003;6(2):215-220.

A 14-month-old child visited emergency room with stuporous mental state. He had been suffering from failure to thrive (FTT) and emaciation since three months of age, but he had good appetite and had been euphoric. A large mass was found in the third ventricle by brain CT and MRI. His parents refused operative removal of the mass and he expired 14 days after admission. It is necessary to include diencephalic syndrome in the differential diagnosis of failure to thrive when infants show FTT despite of good appetite and euphoric status.
Appetite ; Brain ; Brain Neoplasms ; Child ; Diagnosis, Differential ; Emaciation ; Emergency Service, Hospital ; Failure to Thrive* ; Humans ; Infant ; Magnetic Resonance Imaging ; Parents ; Stupor ; Third Ventricle

7

Cite

Share

A Case of Juvenile Polyposis Presented with Protein Losing Enteropathy.

Bo Young KANG ; Seung Jeong HAN ; Ji Eun LEE ; Sun Kun CHOI ; Jun Mi KIM ; Young Jin HONG ; Byong Kwan SON

Korean Journal of Pediatric Gastroenterology and Nutrition.2003;6(2):208-214.

Juvenile polyposis is an uncommon condition characterized by the development of multiple juvenile polyps predominantly in the colon but also in the rest of the gastrointestinal tract. Patients with juvenile polyposis commonly present with rectal bleeding, diarrhea, abdominal pain, anemia, prolapse of the polyp. We experienced a juvenile polyposis in a 7 year-old male patient with protein losing enteropathy who was diagnosed by 99MTc-human serum albumin abdominal scintigraphy, colonoscopy, and small bowel series. Proctocolectomy with ileostomy was performed and then protein losing enteropathy was resolved.
Abdominal Pain ; Anemia ; Child ; Colon ; Colonoscopy ; Diarrhea ; Gastrointestinal Tract ; Hemorrhage ; Humans ; Ileostomy ; Male ; Polyps ; Prolapse ; Protein-Losing Enteropathies* ; Radionuclide Imaging ; Technetium Tc 99m Aggregated Albumin

8

Cite

Share

Intestinal Neuronal Dysplasia in Twins.

In Suk LIM ; Ju Young CHUNG ; Myung Jai CHOI ; Sang Woo KIM ; Hong Ju KIM ; Jeong Yeon KIM

Korean Journal of Pediatric Gastroenterology and Nutrition.2003;6(2):202-207.

Intestinal neuronal dysplasia (IND) is a disorder of abnormal intestinal innervation resulting in dysfunctional colonic motility. IND shares clinical features with Hirschsprung's disease but differentiated by histological findings such as hyperplasia of submucosal and myenteric plexuses, giant ganglia, ectopic ganglion cell and increased acetylcholinesterase activity in lamina propria. Although IND may exist as an isolated condition, more commonly, it occurs in association with Hirschsprung's disease. We report a case of twins affected with IND. Both children manifested with delayed passage of meconium and severe abdominal distention after birth. Barium enema in both patients showed microcolon. They underwent emergency ileostomy under the impression of total aganglionosis. But surgical biopsy specimens showed hyperganglionosis in submucosa with formation of giant ganglia. Both neonates suffers from several episodes of peudo-obstruction after the repair operation of colostomy.
Acetylcholinesterase ; Barium ; Biopsy ; Child ; Colon ; Colostomy ; Emergencies ; Enema ; Ganglia ; Ganglion Cysts ; Hirschsprung Disease ; Humans ; Hyperplasia ; Ileostomy ; Infant, Newborn ; Meconium ; Mucous Membrane ; Myenteric Plexus ; Neurons* ; Parturition ; Twins*

9

Cite

Share

A Case of Idiopathic Portal Hypertension in a 3-year-old Girl.

Ki Young SON ; Seoung Yon BAEK ; Ki Sup CHUNG

Korean Journal of Pediatric Gastroenterology and Nutrition.2007;10(2):221-225.

A previously healthy 3-year-old girl was admitted to the Department of Pediatrics in Severance Hospital with sudden symptoms of melena. The vital signs were stable, and splenomegaly was found in a physical examination. The patient had moderate thrombocytopenia. There was no evidence of autoimmune disease. A upper gastrointestinal endoscopy and esophagogram showed a varix on the lower esophagus. Coarse liver parenchymal echoes and increased periportal echogenicity were seen on a Doppler sonogram. The velocity of the portal vein mildly increased. Magnetic-resonance-cholangiopancreatogram (MRCP) demonstrated normal portal structures. A sono-guided liver biopsy was performed, but the pathological findings were unremarkable. Based on these findings, we diagnosed the patient with idiopathic portal hypertension. The patient was discharged and was treated with oral beta blocker. We report a case of idiopathic portal hypertension with a brief review of the literature.
Autoimmune Diseases ; Biopsy ; Child, Preschool* ; Endoscopy, Gastrointestinal ; Esophageal and Gastric Varices ; Esophagus ; Female* ; Humans ; Hypertension, Portal* ; Liver ; Melena ; Pediatrics ; Physical Examination ; Portal Vein ; Splenomegaly ; Thrombocytopenia ; Varicose Veins ; Vital Signs

10

Cite

Share

A Case of Autoimmune Chronic Pancreatitis in a Child.

In Young CHOI ; So Hee JIN ; Kyung Dan CHOI ; Kyung Mo KIM

Korean Journal of Pediatric Gastroenterology and Nutrition.2007;10(2):215-220.

We present a case of autoimmune chronic pancreatitis in a previously healthy child without any history of autoimmune disease. A 12-year-old boy was admitted to the hospital with abdominal pain. The serum amylase, lipase, and IgG levels were elevated and autoantibodies (antinuclear antibody, antineutrophil antibody) were detected. An abdominal CT (computed tomographic) scan revealed diffuse enlargement of the pancreas. ERCP (endoscopic retrograde cholangiopancreaticography) demonstrated an irregular stricture of the main pancreatic duct in the pancreas tail. After two years of oral steroid and immunosuppressive drug therapy, the clinical, laboratory and radiological findings were improved. The patient has been symptom-free for 18 months after the discontinuation of medication.
Abdominal Pain ; Amylases ; Autoantibodies ; Autoimmune Diseases ; Child* ; Cholangiopancreatography, Endoscopic Retrograde ; Constriction, Pathologic ; Drug Therapy ; Humans ; Immunoglobulin G ; Lipase ; Male ; Pancreas ; Pancreatic Ducts ; Pancreatitis, Chronic* ; Tomography, X-Ray Computed

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share