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Perforated nonspecific ulcer of the colon in children
M Iuchtman1, D Heldemberg, L Auslaender
1Department of Surgery, Hillel Yaffe Medical Center, Israel.
Insights
Nonspecific colonic ulceration is rare in children, often affecting the left colon and causing perforation. Surgical interventions like exteriorization or excision led to full recovery in two pediatric cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Colorectal Surgery
Background:
- Nonspecific ulceration of the colon is an uncommon condition in pediatric patients.
- While typically found in the cecum, 15% of cases involve the left colon.
Abstract:
Nonspecific ulceration of the colon is rarely seen in children. The most common location is the cecum, but the left colon is the involved segment in 15% of patients. We describe two affected children, who presented acutely with free colonic perforation. In the first patient, treatment consisted of exteriorization followed by delayed closure, and in the second child of localized excision followed by primary two-layer suture. Both patients recovered uneventfully.
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