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Clinical Pediatrics
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Small Bowel Obstruction as a Complication of Kawasaki Disease

Daniel J. Murphy, JR, MD

Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, and the Departments of Surgery and Pathology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas

W. Robert Morrow, MD

Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, and the Departments of Surgery and Pathology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas

Franklin J. Harberg, MD

Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, and the Departments of Surgery and Pathology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas

Edith P. Hawkins, MD

Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, and the Departments of Surgery and Pathology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas

A case of small bowel obstruction in an 8-month-old infant with Kawasaki disease is described. At laparotomy a discrete area of jejunal stricture with adhesions was noted. Microscopic examination revealed evidence of small artery thrombosis. Kawasaki disease results in a diffuse vasculitis, which may produce significant abnormalities in multiple organ systems. Serious abdominal complications can occur and should be considered when gastrointestinal symptoms develop in a patient with Kawasaki disease.

Clinical Pediatrics, Vol. 26, No. 4, 193-196 (1987)
DOI: 10.1177/000992288702600410
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