Acute Segmental Necrotizing Enteritis in Children

Intestinal obstruction in children due to segmental enteritis: experience in Chittagong, Bangladesh

“…Improvement on simple intraoperative measures in the majority of cases suggests that a policy of longer period of conservative treatment could be curative. It is supported by the reports elsewhere [2,5,9].…”

“…Acute segmental enteritis, also known as acute segmental ischemic enteritis [1], acute segmental necrotizing enteritis [2], segmental obstructing acute jejunitis [3], enteritis necroticans [4] etc. was first detected at Chiangmai, Thailand [1].…”

“…was first detected at Chiangmai, Thailand [1]. Thereafter, several reports mostly from Thailand, India and China were published [1,2,5]. Patients present with one or more of the following, e.g., fever, leucocytosis, abdominal tenderness and per-rectal bleeding in addition to features of intestinal obstruction [5].…”

Acute Segmental Obstructing Enteritis in Children

“…The disease seems to be seasonal (1-4). Kalani et al reported 22 ASOE cases, with 77% of the subjects seen between March and June and 23% between July and October (1). In our series, all cases were found between July and November, and 75% were seen during the summer and early fall, ASOE was thought to be limited to the Third World and to be related to malnutrition (2).…”

“…In some, the symptoms were worse than the physical findings. The patients seemed toxic, but the abdomen, though tender, was relatively soft (1,2).…”