Diagnostic peritoneal lavage for assessing acute abdomen in pediatric oncology and stem cell transplantation patients.
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.
Kumar
Ashish
A
Division of Pediatric Hematology, Oncology, and Bone Marrow Transplantation, University of Minnesota, 420 Delaware Street, Minneapolis, MN 55455, USA.
Saltzman
Daniel
D
Shukula
Mayank
M
Lewis
Victor
V
Wendorf
Richard
R
Sauer
Martin
M
Neglia
Joseph
J
Baker
K Scott
KS
Macmillan
Margaret
M
Steiner
Marie E
ME
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