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- A H P Loh, L Y Ong, W K Liew, T Arkachaisri, V K M Lee, K L Narasimhan, and A S Jacobsen.
- Department of Paediatric Surgery, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899. amos.loh.hp@kkh.com.sg
- Singap Med J. 2011 Apr 1; 52 (4): e82-4.
AbstractColonic perforation is an uncommon cause of acute abdomen in paediatric patients, and can present a diagnostic enigma as well as management challenge to the paediatric surgeon. An adolescent developed multiple colonic perforations following a short course of oral indomethacin, requiring emergency hemicolectomy. This is the youngest known case of enteral non-steroidal anti-inflammatory drug (NSAID)-mediated large bowel injury. We review current evidence on NSAID-related enteropathy, and postulate potentiating mechanisms that may have accounted for the unusually rapid clinical course of our patient.
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