Small Bowel Obstruction as a Complication of Kawasaki Disease

Author:

Murphy Daniel J.1,Morrow W. Robert1,Harberg Franklin J.1,Hawkins Edith P.1

Affiliation:

1. Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, and the Departments of Surgery and Pathology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas

Abstract

A case of small bowel obstruction in an 8-month-old infant with Kawasaki disease is described. At laparotomy a discrete area of jejunal stricture with adhesions was noted. Microscopic examination revealed evidence of small artery thrombosis. Kawasaki disease results in a diffuse vasculitis, which may produce significant abnormalities in multiple organ systems. Serious abdominal complications can occur and should be considered when gastrointestinal symptoms develop in a patient with Kawasaki disease.

Publisher

SAGE Publications

Subject

Pediatrics, Perinatology and Child Health

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