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首页> 外文期刊>Journal of medical ultrasonics: official journal of the Japan Society of Ultrasonics in Medicine >A case of Kawasaki disease presenting as sigmoid colitis
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A case of Kawasaki disease presenting as sigmoid colitis

机译：kawasaki疾病的案例呈现为sigmoid结肠炎

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Initial gastrointestinal symptoms might confuse the clinical pictures of some patients with Kawasaki disease (KD) and delay diagnosis and treatment, especially when the patient does not fulfill sufficient diagnostic criteria for KD. Here, we present the case of a 4-year-old boy with KD who complained of severe left abdominal pain and fever alone for the first 6 days. Abdominal ultrasonography showed severe wall thickening localized to the sigmoid colon, and these findings were confirmed by computed tomography and colonoscopy. Microscopic examination of a biopsy specimen revealed non-specific colitis with inflammatory cells in the lamina propria of the sigmoid colon, indicating sigmoid colitis. He subsequently exhibited typical symptoms of KD and was successfully treated with oral administration of aspirin. We suggest that KD should be considered as a differential diagnosis in any child presenting with abdominal symptoms and prolonged fever without definable cause. Abdominal ultrasonography can help evaluate the gastrointestinal complications of KD.
机译：初始胃肠道症状可能会使一些患者的临床照片混淆一些患者的川崎病（KD）和延迟诊断和治疗，特别是当患者不满足足够的KD诊断标准时。在这里，我们提出了一个4岁男孩的案例，其中KD抱怨在前6天内单独留下严重的左腹痛和发烧。腹部超声检查显示出严重的壁增厚，局部化为乙状结肠，通过计算机断层扫描和结肠镜检查证实了这些发现。活检标本的显微镜检查揭示了锡形结肠椎相色谱中的炎性细胞的非特异性结肠炎，表明乙状结肠炎。他随后表现出KD的典型症状，并用口服施用阿司匹林成功治疗。我们建议KD应被视为任何患有腹部症状和延长发烧的儿童的差异诊断，没有可定定的原因。腹部超声检查可以帮助评估KD的胃肠道并发症。

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