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A Case of Ischemic Enteritis

Journal of the Korean Pediatric Society 1997;40(2):254-259.
Published online February 15, 1997.
A Case of Ischemic Enteritis
Ran Lee1, Jeong Kee Seo1, Kwi won Park2, Jong Je Kim3
1Department of Pediatrics, College of Medicine, Seou lNational University, Seoul, Korea
2Department of Surgery, College of Medicine, Seou lNational University, Seoul, Korea
3Department of pathology, College of Medicine, Seou lNational University, Seoul, Korea
허혈성 장염 1례
이란1, 서정기1, 박귀원2, 김종재3
1서울대학교 의과대학 외과학교실
2서울대학교 의과대학 외과학교실
3서울대학교 의과대학 해부병리학교실
Abstract
Ischemic enteritis is caused by embolism or thrombosis of superior mesenteric artery and nonocclusive ischemia. Mesenteric venous thrombosis, drugs, and vasculitis are less frequent etiologic factors. In children, occlusion of microcirculation by fibrin thrombi initiated by endotoxemia may be an etiology. Severe abdominal pain, vomiting, and diarrhea with evidence of gross or microscopic bleeding are common presenting symptoms. Angiography may be diagnositic and permit therapeutic intervention. Revascularization with resection of necrotic bowel is the treatment of choice. We experienced a case of ischemic enteritis that was presented with projectile vomiting and diarrhea. Diagnosis was confirmed histologically. Radiological findings suggested multiple adhesive ileus. Laparatomy was followed by resection of the necrotic bowel.
Key Words: Ischemic Enteritis, Children


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