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Year : 2018  |  Volume : 11  |  Issue : 4  |  Page : 338-341

Acute fulminant necrotizing amoebic pancolitis: A lethal entity in children

1 Department of Paediatric Surgery, Kota Medical College, Kota, Rajasthan, India
2 Department of Pathology, Kota Medical College, Kota, Rajasthan, India

Correspondence Address:
Rahul Gupta
Department of Paediatric Surgery, Kota Medical College, Kota, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjdrdypu.MJDRDYPU_238_17

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A 4-year-old boy presented in a state of septicemic shock, disoriented with peritonitis, and marked hemodynamic instability. The child was resuscitated; radiographs confirmed pneumoperitoneum. Intraoperatively, there were multiple perforations with necrotic changes in the entire colon up to the rectum, suggestive of acute fulminant necrotizing pancolitis. He was managed by total colectomy, ileostomy, with Hartman's pouch. Histopathology confirmed necrotizing amoebic pancolitis. Postoperatively, administration of metronidazole with broad-spectrum antibiotic coverage, hyperalimentation, and multiple platelet concentrates was given. The child had profound immunosuppression and expired due to multiple organ dysfunction syndrome. Acute fulminant necrotizing amoebic pancolitis is an extremely lethal entity in children.

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