Related Experiment Video
Updated: Aug 11, 2026

A Mouse Model of Intestinal Partial Obstruction
Published on: March 5, 2018
Atypical Kawasaki disease presenting as intestinal pseudo-obstruction
Mao-Meng Tiao1, Li-Tung Huang, Chi-Di Liang
1Department of Pediatrics, Chang Gung Memorial Hospital, Chang Gung University, Kaohsiung, Taiwan.
Abstract:
Intestinal pseudo-obstruction in atypical Kawasaki disease (KD) is rare. A boy aged 2 years and 6 months presented with a 7-day history of fever, coffee-ground vomit, and abdominal pain. Abdominal radiography and ultrasound showed a dilated duodenum. Peeling of the skin on his fingers and toes developed on hospitalization day 9. Echocardiogram revealed right and left coronary artery dilatation compatible with KD. He was treated with 2 g/kg intravenous immunoglobulin (IVIG), with rapid resolution of fever and relief of abdominal pain. Follow-up abdominal radiography and ultrasound showed improvement of bowel dilatation. This case illustrates that atypical KD can present with intestinal pseudo-obstruction. A high index of suspicion is required for early diagnosis, and prompt treatment with IVIG is recommended.
Related Concept Videos
Intestinal Obstruction I: Introduction
Intestinal Obstruction II: Pathophysiology
Pyloric Obstruction
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by transmural...
Appendicitis