Toxic epidermal necrolysis complicated by small bowel intussusception: a case report

Abstract Intestinal involvement in toxic epidermal necrolysis (TEN) has been identified only rarely. We report a case of TEN complicated by small bowel intussusception. The patient was a previously healthy 8-year-old boy who presented with TEN and extensive lesions, including up to 40% of the body s...

Full description

Saved in:
Bibliographic Details
Published in:Journal of pediatric surgery 2011-02, Vol.46 (2), p.e9-e11
Main Authors: Bouziri, Asma, Khaldi, Ammar, Hamdi, Asma, Borgi, Aida, Ghorbel, Sofiene, Kharfi, Monia, Hadj, Sarra Bel, Menif, Khaled, Jaballah, Nejla Ben
Format: Article
Language:English
Subjects:
Child
Humans
Ileal Diseases - complications
Ileal Diseases - surgery
Ileum - pathology
Ileum - surgery
Intussusception - complications
Intussusception - surgery
Male
Parenteral nutrition
Parenteral Nutrition, Total
Pediatrics
Small bowel intussusception
Stevens-Johnson Syndrome - complications
Stevens-Johnson Syndrome - surgery
Surgery
Toxic epidermal necrolysis
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Intestinal involvement in toxic epidermal necrolysis (TEN) has been identified only rarely. We report a case of TEN complicated by small bowel intussusception. The patient was a previously healthy 8-year-old boy who presented with TEN and extensive lesions, including up to 40% of the body surface area as well as conjunctival, oropharyngeal, respiratory, and genital mucosa. Rapidly after the onset of a constant rate of enteral feeding, he developed bilious vomiting, diarrhea, and significant abdominal distension. Abdominal sonography showed a small bowel intussusception. At abdominal exploration, an ileoileal intussusception was observed with a viable but inflamed bowel wall. Manual reduction was performed. During the postoperative clinical course, the patient was managed with total parenteral nutrition and local care of the skin and mucous membranes. Enteral feeding was introduced on the sixth postoperative day, and the child left the hospital 15 days after his admission. The association of TEN and small bowel intussusception has not been previously reported in the literature.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2010.09.011