J Korean Med Sci.  2008 Aug;23(4):723-726. 10.3346/jkms.2008.23.4.723.

A Case of Kawasaki Disease with Colonic Edema

• Kim MY
• Noh JH

• KMID: 1785837
• DOI: http://doi.org/10.3346/jkms.2008.23.4.723

Abstract

Kawasaki disease (KD) is recognized as a systemic vasculitis affecting multi-organ with inflammatory changes. The commonest and most serious complication of KD is coronary artery aneurysm, but KD may cause other organic complications beside cardiac problems. Gastrointestinal tract also present complications of KD in which, for example, hepatic dysfunction, pancreatitis, intussusception, colonic obstruction, intestinal pseudo-obstruction, and bowel edema are included. Among them, colonal wall edema is left unknown in the incidence, and it has been reported even if rare. In this report, we describe a case of KD with colonal wall edema, occurred in 5-yr-old boy who complained of severe abdominal pain and vomiting.

Keyword

Mucocutaneous Lymph Node Syndrome; Gastrointestinal Complication

MeSH Terms

Abdominal Pain/etiology
Child, Preschool
Colonic Diseases/*etiology
Edema/*etiology
Humans
Male
Mucocutaneous Lymph Node Syndrome/*complications

Figure

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  Fig. 1 Abdominal radiograph reveals distended bowel loop with fecal materials.

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  Fig. 2 Transabdominal ultrasonograph shows circumferential bowel wall thickening (arrows) in the descending and sigmoid colon.

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  Fig. 3 (A) Contrast-enhanced abdominal CT reveals circumferential bowel wall thickening with submucosal low attenuation in the lower distal descending colon (arrows). There are no abnormal enhanced lesion in pelvic solid organs and no ascites in the pelvic cavity. (B) Abdominal CT reveals circumferential bowel wall thickening in the sigmoid colon (black arrows), but normal thickness in the rectum (white arrows).

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