Spontaneous Perforation of Colon in Previously Healthy Infants and Children: Its Clinical Implication
| Autor: | Soo-Hong Kim, Hae Young Kim, Yong Hoon Cho |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Colon Perforation (oil well) Spontaneous Perforation 03 medical and health sciences 0302 clinical medicine Pneumoperitoneum medicine Respiratory system Sustained fever Child Pathological Perforation Hepatology business.industry Spontaneous Gastroenterology Sigmoid colon Infant medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Necrotizing enterocolitis 030211 gastroenterology & hepatology Original Article business |
| Zdroj: | Pediatric Gastroenterology, Hepatology & Nutrition |
| ISSN: | 2234-8646 |
| Popis: | PURPOSE Spontaneous colon perforations are usually encountered as necrotizing enterocolitis in the neonatal period, but occur rarely in infants and children without pathological conditions. This study was conducted to describe its clinical implication beyond the neonatal period. METHODS Cases of spontaneous colon perforation confirmed after the operation were reviewed retrospectively and the clinicopathological characteristics were analyzed. Clinical data were compared according to the presence of pneumoperitoneum as initial findings. RESULTS Eleven patients were included in the study period and showed a history of hospitalization before transfer due to management for fever, respiratory or gastrointestinal problems. Six patients showed a sudden onset of abdominal distention and only seven patients showed a pneumoperitoneum as initial radiologic findings, however there were no significant clinicopathological differences. Perforation was found evenly in all segments of the colon, most commonly at the sigmoid colon in four cases. There were no specific pathologic or serologic causes of perforation. CONCLUSION When previously healthy infants and children manifest a sustained fever with a sudden onset of abdominal distention during management for fever associated with respiratory or gastrointestinal problems, there is a great likelihood of colon perforation with no pathological condition. Prompt surgical management as timely decision-making is necessary in order to achieve a good progress. |
| Databáze: | OpenAIRE |
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