Protein-losing enteropathy due to segmental erosive and ulcerative intestinal disease cured by limited resection of the bowel.
Two children suffering from extensive intestinal protein loss due to subacute and chronic segmental small bowel disease are presented. In the first case a tentative diagnosis of chronic erosive and ulcerative non-granulomatous jejunitis as described in adults was made. The second child suffered from subacute erosive and ulcerative segmental transmural ileitis following mechanical ileus. In both instances resection of the involved segments of small intestine promptly cured the enteric protein loss. It is suggested that excessive protein loss due to subacute or chronic segmental erosive and ulcerative intestinal disease may be cured definitively by surgical resection. An explorative laparotomy should be performed if broad internistic investigations do not provide an explanation for the severe and prolonged enteric protein loss.
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007079:Ileitis / Q000150:complications; D007082:Ileum / Q000601:surgery; D007410:Intestinal Diseases / Q000150:complications; D007421:Intestine, Small / Q000473:pathology; D007583:Jejunum / Q000601:surgery; D008297:Male; D011504:Protein-Losing Enteropathies