Bloody diarrhoea for several days. Distended abdomen. No mass on examination.
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Extensive pneumatosis. No evidence of perforation. No suggestion of ileocolic intussusception.
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.
- 1. Kurbegov AC, Sondheimer JM. Pneumatosis intestinalis in non-neonatal pediatric patients. (2001) Pediatrics. 108 (2): 402-6. Pubmed