Medizinische Universität Graz - Research portal
Selected Publication:
Krohn, C; Till, H; Haraida, S; Kurnik, K; Boehm, R; Grantzow, R; Joppich, I.
Multiple intestinal stenoses and peripheral gangrene: A combination of two rare surgical complications in a child with Kawasaki disease
J Pediatr Surg. 2001; 36(4):651-653
Doi: 10.1053/jpsu.2001.22312
(- Case Report)
Web of Science
PubMed
FullText
FullText_MUG
- Co-authors Med Uni Graz
- Till Holger
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- 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.
- Find related publications in this database (using NLM MeSH Indexing)
- Amputation -
- Female -
- Follow-Up Studies -
- Foot - pathology
- Gangrene - diagnosis Gangrene - etiology Gangrene - surgery
- Hand - pathology
- Humans -
- Infant -
- Intestinal Obstruction - diagnosis Intestinal Obstruction - etiology Intestinal Obstruction - surgery Intestinal Obstruction - therapy
- Jejunal Diseases - diagnosis Jejunal Diseases - etiology Jejunal Diseases - therapy
- Laparotomy - methods
- Mucocutaneous Lymph Node Syndrome - complications Mucocutaneous Lymph Node Syndrome - therapy
- Risk Assessment -
- Severity of Illness Index -
- Find related publications in this database (Keywords)
- Kawasaki disease
- ileus
- intestinal stenosis
- peripheral gangrene