Colitis

Case contributed by Dr Jeremy Jones

Presentation

Bloody diarrhoea for several days. Distended abdomen. No mass on examination.

Patient Data

Age: 9 months
Gender: Male
X-ray

Extensive pneumatosis. No evidence of perforation. No suggestion of ileocolic intussusception.

Case Discussion

Pneumatosis is rare in this agegroup. In non-neonate pediatrics, the causes include (from a series of 30 patients 1):

  • non-infective colitis (32%)
  • enteric infection (27%)
  • ischemia (20%)
  • dysmotility (17%)

In this case, there was no evidence of infection or dysmotility. Lactate was normal. The child responded to steroid therapy and a presumed diagnosis of non-infective colitis was made. The cause was no identified and there were no further presentations.

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Case information

rID: 66208
Published: 11th Feb 2019
Last edited: 11th Feb 2019
System: Paediatrics
Inclusion in quiz mode: Included
Institution: NHS Lothian

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