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Báo cáo y học: "Lethal pneumatosis coli in a 12-month-old child caused by acute intestinal gas gangrene after prolonged artificial nutrition: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Lethal pneumatosis coli in a 12-month-old child caused by acute intestinal gas gangrene after prolonged artificial nutrition: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Lethal pneumatosis coli in a 12-month-old child caused by acute intestinal gas gangrene after prolonged artificial nutrition a case report Stefan Kircher 1 Rupert Wossner2 Hans-Konrad Muller-Hermelink1 and Hans-Ullrich Volker1 Address 1Institute of Pathology University Wurzburg Josef-Schneider-Strafie D-97080 Wurzburg Germany and 2Department of Paediatrics University Wurzburg Germany Email Stefan Kircher - stefan.kircher@gmx.de Rupert Wossner - woessner_r@kinderklinik.uni-wuerzburg.de Hans-Konrad Muller-Hermelink - path062@mail.uni-wuerzburg.de Hans-Ullrich Volker - hans-ullrich.voelker@t-online.de Corresponding author Published 24 July 2008 Received 24 October 2007 Journal of Medical Case Reports 2008 2 238 doi 10.1186 1752-1947-2-238 Accepted 24 July 2008 This article is available from http www.jmedicalcasereports.cOm content 2 1 238 2008 Kircher et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Pneumatosis coli is a rare disease with heterogeneous symptoms which can be detected in the course of various acute and chronic intestinal diseases in children such as necrotizing enterocolitis intestinal obstruction and intestinal bacteriological infections. Case presentation We report the case of a 12-month-old boy who died of pneumatosis coli caused by an acute intestinal gas gangrene after prolonged artificial alimentation. Conclusion While intestinal gas gangrene is a highly uncommon cause of pneumatosis coli it is important to consider it as a differential diagnosis especially in patients receiving a prolonged artificial food supply. These patients may develop intestinal gas gangrene due to a dysfunctional intestinal barrier. .