Periumbilical Erythema in a Neonate

Henbest, Daniel M.; Steele, Russell W.

doi:10.1177/0009922813479167

Cited by 1 publication

(1 citation statement)

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“…If unrecognized or untreated, the infection may complicate in a necrotizing fascitis of the abdominal wall with a high mortality rate. In the neonatal period, red umbilicus is often a troubling sign of infection, such as funisitis, omphalitis, or underlying gangrenous bowel and peritonitis like in the necrotizing enterocolitis [11,12]. But among non-neonatal patients, red umbilicus is extremely rare as a sign of peritonitis.…”

Section: Discussionmentioning

confidence: 99%

Acute abdominal pain and nephrotic syndrome: pediatric case reports and review of the literature

et al. 2021

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Background Acute abdominal pain in nephrotic syndrome (NS) is a well-known clinical symptom and is mainly related to peritonitis. The presence, although rare, of red umbilicus may guide the diagnosis as a suggestive sign of peritonitis also in the non-neonatal period. Instead, the association between intussusception and NS is quite limited. We reviewed all published cases in the literature, and to our knowledge, this is one of the few pediatric cases of spontaneous resolution of intussusception in the setting of NS. Finally, a review of the causes of abdominal pain during the course of NS was made. Cases presentation We report two pediatric patient cases who complained of acute abdominal pain during a relapse episode of their NS. The first case is a 4-year-old boy with NS (fourth relapse) who presented with acute abdominal pain, ascites, and red umbilicus. Our suspect of primary peritonitis was clinically confirmed because of the subsequent appearance of the classical peritoneal signs. The second case is a 4-year-old boy who developed an ileo-ileal intussusception during the treatment of his first NS relapse, with spontaneous reduction. Conclusions Gastrointestinal disorders are frequently encountered in the course of NS. The appearance of acute abdominal pain in children with NS requires quick management, both clinical and instrumental. A multidisciplinary team approach needs to be encouraged to lead to an accurate diagnosis and a correct treatment.

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Section: Discussionmentioning

confidence: 99%