Article Text

other Versions

PDF
Images in paediatrics
Shock due to faecal impaction
  1. Ji Soo Baik1,
  2. Timothy Seers1,
  3. Sabeena Qureshi2,
  4. Simon Nadel2
  1. 1 Imperial College Faculty of Medicine, Imperial College London, London, UK
  2. 2 Paediatric Intensive Care Unit, St Mary’s Hospital, London, UK
  1. Correspondence to Dr. Simon Nadel, Paediatric Intensive Care Unit, St Mary’s Hospital, Praed Street, London W2 1NY, London, UK; s.nadel{at}imperial.ac.uk

Statistics from Altmetric.com

A 15-year-old boy with quadriplegic cerebral palsy presented with a 2-day history of profuse diarrhoea and a 12-hour history of ‘coffee-ground’ vomiting. He had a prolonged history of poorly controlled constipation and diarrhoea, treated with regular movicol.

The patient was hypotensive, with metabolic acidosis and hyperlactaemia, and was therefore intubated and ventilated and needed fluid resuscitation and inotropic support. Investigations revealed C reactive protein 350 mg/L and white cell count 30×1012/L. …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.