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Septic shock: an atypical complication of alimentary tract duplication

Francisco Imaz1, Enrique Buela1, Antonella Scarpin1

  • 1Hospital General de Niños Ricardo Gutiérrez, City of Buenos Aires, Argentina.

Archivos Argentinos De Pediatria
|November 24, 2023
PubMed

Insights

Alimentary tract duplication, a rare congenital anomaly, can lead to severe complications like septic shock. This case highlights the importance of recognizing infection as a critical, albeit uncommon, risk in these patients.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Anomalies

Background:

  • Alimentary tract duplications are congenital anomalies with varied presentations.
  • Infection is a rare but severe complication of these duplications.

Observation:

  • A 2-year-old girl presented with abdominal distension, pain, and a mass.
  • Imaging revealed a partial fluid septation, suggestive of duplication.
  • Intratumoral infection progressed to septic shock during hospitalization.

Findings:

  • The patient experienced septic shock secondary to an infected alimentary tract duplication.
  • Prompt medical management of shock and subsequent surgical resection were performed.
  • Pathology confirmed the diagnosis of alimentary tract duplication.

Implications:

  • This case underscores the potential for severe infectious complications, including septic shock, from alimentary tract duplications.
  • Early recognition and management are crucial for favorable outcomes in pediatric patients with these anomalies.
  • Highlights the need to consider infection in the differential diagnosis of abdominal masses in children.

Keywords:
gastrointestinal tractpediatricsseptic shock

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