Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
권호 표지
DOI QR코드

DOI QR Code

Intestinal duplication revealed by posterior reversible encephalopathy syndrome

  • Kerkeni, Yosra (Department of Pediatric Surgery "A", Children Hospital "Bechir Hamza" of Tunis, Tunisia Universite de Tunis El Manar, Faculte de Medecine de Tunis) ;
  • Louati, Hela (Department of Radiology, Children Hospital "Bechir Hamza" of Tunis, Tunisia Universite de Tunis El Manar, Faculte de Medecine de Tunis) ;
  • Hamzaoui, Mourad (Department of Pediatric Surgery "A", Children Hospital "Bechir Hamza" of Tunis, Tunisia Universite de Tunis El Manar, Faculte de Medecine de Tunis)
  • 투고 : 2017.08.29
  • 심사 : 2018.03.05
  • 발행 : 2018.04.15
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

We report a unique case of intestinal duplication detected on posterior reversible encephalopathy syndrome (PRES) in a 13-year-old girl. She was admitted to the pediatric Emergency Department because of generalized seizures. Radiological assessment revealed a large, well-defined, thick-walled cystic lesion in the mid abdomen, suggestive of duplication cyst associated to a PRES. Exploration confirmed the diagnosis of ileal duplication cyst, and the mass was resected. The postoperative course was uneventful. Both hypertension and neurological dysfunction resolved after the mass resection. A follow-up brain magnetic resonance imaging was performed 9 months later and showed complete resolution of the cerebellar changes. Although extrinsic compression of the retroperitoneal structures has not been reported in the literature as a complication of duplication cyst, we strongly believe that this is the most logical and plausible hypothesis that would explain the pathogenesis of PRES in our patient.

키워드

참고문헌

  1. Tiwari C, Shah H, Waghmare M, Makhija D, Khedkar K. Cysts of gastrointestinal origin in children: varied presentation. Pediatr Gastroenterol Hepatol Nutr 2017;20:94-9. https://doi.org/10.5223/pghn.2017.20.2.94
  2. Gumus H, Per H, Kumandas S, Yikilmaz A. Reversible posterior leukoencephalopathy syndrome in childhood: report of nine cases and review of the literature. Neurol Sci 2010;31:125-31. https://doi.org/10.1007/s10072-009-0158-z
  3. Zuccoli G, Fitzgerald RT, Nardone R, Furtado AD, Abdel-Hamid H. The link between arterial blood pressure and vasogenic edema in pediatric PRES. Neuroradiology 2015;57:865-6. https://doi.org/10.1007/s00234-015-1532-6
  4. Ahn CH, Han SA, Kong YH, Kim SJ. Clinical characteristics of hypertensive encephalopathy in pediatric patients. Korean J Pediatr 2017;60:266-71. https://doi.org/10.3345/kjp.2017.60.8.266
  5. Gopalakrishnan CV, Vikas V, Nair S. Posterior reversible encephalopathy syndrome in a case of postoperative spinal extradural haematoma: case report and review of literature. Asian Spine J 2011;5:64-7. https://doi.org/10.4184/asj.2011.5.1.64
  6. Prasad M, Wetzler G, Holtmann J, Dapul H, Kupferman JC. Constipation, renovascular hypertension, and posterior reversible encephalopathy syndrome (PRES). Eur J Pediatr 2016;175:421-5. https://doi.org/10.1007/s00431-015-2627-0
  7. Aureli V, Giammattei L, Maduri R, Daniel RT, Messerer M. Posterior reversible encephalopathy syndrome (PRES) due to neuroblastoma in a child presenting with acute hydrocephalus. Childs Nerv Syst 2018;34:15-17. https://doi.org/10.1007/s00381-017-3640-6
  8. Nguyen TT, Petzel Gimbar RM. Sustained hypotension following intravenous metoclopramide. Ann Pharmacother 2013;47:1577-80. https://doi.org/10.1177/1060028013503789
  9. Sheinberg R, Gao WD, Wand G, Abraham S, Schulick R, Roy R, et al. Case 1--2012. A perfect storm: fatality resulting from metoclopramide unmasking a pheochromocytoma and its management. J Cardiothorac Vasc Anesth 2012;26:161-5. https://doi.org/10.1053/j.jvca.2011.10.003
  10. Sheridan C, Chandra P, Jacinto M, Greenwald ES. Transient hypertension after high doses of metoclopramide. N Engl J Med 1982;307:1346.
  11. Vogelzang NJ. Hypertension after metoclopramide. N Engl J Med 1983;308:780.
  12. Filibeck DJ, Grimm D, Forman WB, Leidner BA. Metoclopramideinduced hypertensive crisis. Clin Pharm 1984;3:548-9.
  13. Hursidic-Radulovic A. Hypertensive crisis caused by metoclopramide. Lijec Vjesn 2000;122:30-1.