Severe gastrointestinal haemorrhage and ischaemic necrosis of the small bowel in a child with 70% full-thickness burns: a case report.
Splanchnic ischaemia is an important problem in patients with large burns. This reports the case of an 11-year-old boy with 70% full-thickness TBSA burns who sustained multiple episodes of severe gastrointestinal haemorrhage due to both extensive ischaemic enterocolitis and severe gastric ulceration which required surgical intervention on several occasions. Causative mechanisms of splanchnic ischaemia in this patient including increased mesenteric vascular resistance, abdominal compartment syndrome and enteric feeding, are considered.
Wilson
M D
MD
St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Essex CMl 7ET, Chelmsford, UK.
Dziewulski
P
P
D002056:Burns / Q000150:complications* / Q000503:physiopathology; D002648:Child; D004760:Enterocolitis / Q000209:etiology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007421:Intestine, Small / Q000098:blood supply*; D007511:Ischemia / Q000209:etiology*; D008297:Male; D009336:Necrosis; D012720:Severity of Illness Index