Do not laparotomize food-protein-induced enterocolitis syndrome.
Food protein-induced enterocolitis syndrome is a severe cell-mediated, non-immunoglobulin E-mediated gastrointestinal food allergy, typically to milk and soy. It may masquerade as more common pediatric presentations, where the temporal relationship between symptomatology and exposure to food offers a vital clue to the underlying pathology. A case of food protein-induced enterocolitis syndrome presenting with features similar to intussusception, leading to unnecessary surgery, is presented.
Jayasooriya
Shamanthi
S
Centre for Paediatric Gastroenterology, Royal Free and University College School of Medicine, London, UK.
Fox
Adam T
AT
Murch
Simon H
SH
D000818:Animals; D001942:Breast Feeding; D002417:Cattle; D000075202:Contraindications; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004630:Emergencies; D004760:Enterocolitis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007111:Immunity, Cellular; D007223:Infant; D041943:Infant Formula; D007443:Intussusception / Q000175:diagnosis*; D007813:Laparotomy; D008297:Male; D008892:Milk / Q000009:adverse effects*; D016269:Milk Hypersensitivity / Q000175:diagnosis*; D012008:Recurrence; D018805:Sepsis / Q000175:diagnosis*; D041942:Soy Milk; D019564:Unnecessary Procedures; D014839:Vomiting / Q000209:etiology; D015014:Yogurt / Q000009:adverse effects*