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Incomplete Kawasaki disease complicated with acute abdomen: A case report
Tao Wang1, Chuan Wang1, Kai-Yu Zhou1
1Department of Pediatric Cardiology, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
World Journal of Clinical Cases
|December 3, 2020
Summary
Kawasaki disease (KD) can cause giant coronary artery aneurysms. Surgical revascularization effectively treated myocardial ischemia and heart failure in a pediatric patient with KD.
Area of Science:
- Pediatric Cardiology
- Cardiovascular Surgery
- Rheumatology
Background:
- Kawasaki disease (KD) is a critical pediatric vasculitis with unknown origins.
- KD can lead to severe cardiac complications, including coronary artery aneurysms.
Observation:
- A 4.5-year-old boy presented with incomplete KD and acute abdomen.
- He developed a giant coronary artery aneurysm, myocardial infarction, and heart failure.
- Surgical intervention included exploratory laparotomy, appendectomy, coronary artery revascularization, and bypass graft.
Findings:
- Coronary artery revascularization and bypass graft improved cardiac output and resolved heart failure symptoms.
- The patient's cardiac function improved to NYHA Class I within one month post-operation.
- Normal growth was achieved post-intervention.
Implications:
- Coronary artery revascularization is a viable treatment for pediatric KD patients with giant coronary aneurysms and myocardial ischemia.
- This case highlights the importance of timely surgical intervention for severe cardiac complications in KD.
- Further attention to specific management issues in these complex cases is warranted.
