title: Diagnostic peritoneal lavage for assessing acute abdomen in pediatric oncology and stem cell transplantation patients.
abstract: Diagnostic peritoneal lavage (DPL) is a technique designed to sample the peritoneal cavity for evidence of catastrophic pathology, while incurring minimum risk. The authors describe two unstable pediatric patients, one with acute lymphoblastic leukemia and shock and one with Fanconi anemia on high-frequency oscillation after stem cell transplantation, both presumed to have intra-abdominal perforation. DPL was uneventfully performed at the bedside in both patients. The authors suggest DPL be considered as an alternative to laparotomy in critically ill pediatric oncology and stem cell transplantation patients.
authors.affiliation: Division of Pediatric Hematology, Oncology, and Bone Marrow Transplantation, University of Minnesota, 420 Delaware Street, Minneapolis, MN 55455, USA.
authors.forename: Ashish
authors.initials: A
authors.lastname: Kumar
authors.forename: Daniel
authors.initials: D
authors.lastname: Saltzman
authors.forename: Mayank
authors.initials: M
authors.lastname: Shukula
authors.forename: Victor
authors.initials: V
authors.lastname: Lewis
authors.forename: Richard
authors.initials: R
authors.lastname: Wendorf
authors.forename: Martin
authors.initials: M
authors.lastname: Sauer
authors.forename: Joseph
authors.initials: J
authors.lastname: Neglia
authors.forename: K Scott
authors.initials: KS
authors.lastname: Baker
authors.forename: Margaret
authors.initials: M
authors.lastname: Macmillan
authors.forename: Marie E
authors.initials: ME
authors.lastname: Steiner
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D000293:Adolescent; D002675:Child, Preschool; D005199:Fanconi Anemia / Q000150:complications; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis*; D008297:Male; D010533:Peritoneal Lavage / Q000379:methods*; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications; D012307:Risk Factors; D012769:Shock / Q000209:etiology; D033581:Stem Cell Transplantation