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Obstructive intramural haematoma--a rare cause of mechanical ileus in children
P Florescu1, M Condor, J Butnariu
1Pathological Laboratory, Paediatric Hospital at Cluj-Napoca, Romania.
Insights
A three-week-old infant developed disseminated intravascular coagulation (DIC) due to a Candida infection. This led to intestinal hematomas, causing a bowel obstruction in the infant.
Area of Science:
- Neonatal Medicine
- Pediatric Infectious Diseases
- Hematology
Background:
- Mycotic septicemia, a fungal infection in newborns, poses significant risks.
- Disseminated intravascular coagulation (DIC) is a serious complication in critically ill infants.
- Early recognition of DIC manifestations is crucial for timely intervention.
Observation:
- A three-week-old infant presented with Candida septicemia.
- The infant subsequently developed disseminated intravascular coagulation (DIC).
- Digestive complications included multiple intestinal intramural hematomas.
Findings:
- One intestinal intramural hematoma was large enough to cause mechanical ileus.
- The study highlights the occurrence of intestinal intramural hematomas in infants with DIC.
- The etiology of these hematomas in the context of DIC is explored.
Implications:
- Intestinal intramural hematomas are a notable gastrointestinal manifestation of DIC in neonates.
- This finding underscores the importance of considering DIC in infants with unexplained abdominal symptoms.
- Further research into the pathogenesis and management of DIC-associated hematomas is warranted.
Abstract:
The authors report on an infant of three weeks of age, suffering from mycotic septicaemia (Candida), in the course of which the syndrome of disseminated intravascular coagulation (DIC) occurred. The digestive expression of DIC was represented by numerous intestinal intramural haematomas, one of which was large enough to produce the clinical signs of mechanical ileus. The aetiology of the intestinal intramural haematoma is discussed and its relatively frequent occurrence in infants with DIC is stressed.