Ulcerative colitis: about a pediatric case

Authors

Keywords:

ulcerative colitis, chronic inflammatory bowel disease, kids, East Timor

Abstract

The case of an 8-year-old male patient with a previous health history was presented, referred to the Gastroenterology outpatient clinic of the Guido Valadares National Hospital, East Timor, for recurrent episodes of mucosanguineous diarrhea accompanied by abdominal pain in the hypogastrium with four months of evolution. Laboratory tests, abdominal ultrasound and video colonoscopy with cytology and biopsy of the colon mucosa were performed. The endoscopic study reported extensive ulcerative colitis and the histology gave the diagnosis of a chronic inflammatory bowel disease of the ulcerative colitis type. Ulcerative colitis is an inflammatory intestinal process of unknown origin that causes chronic, diffuse and continuous inflammation in the mucosa and submucosa. Its incidence in children is increasing and affects even infants. Dietary and drug treatment was indicated. He is currently asymptomatic and undergoes monthly follow-up in the Digestive Clinic.

Downloads

Download data is not yet available.

Author Biographies

Yunier Acosta-Hernández, Hospital General Docente "Dr. Mario Muñoz Monroy", Matanzas.

Especialista de I Grado en Medicina General Integral y en Gastroenterología. Instructor.

Miguel Vanterpool-Hector, Hospital Universitario Clínico Quirúrgico "Comandante Faustino Pérez Hernández"

Especialista de I Grado en Medicina General Integral y de II Grado en Gastroenterología. Máster en Enfermedades Infecciosas. Asistente.

Augusta Soares-Menezes, Hospital Nacional Guido Valadares. Dili

Licenciada en Enfermería.

References

1. Wilczynska D, Mielniczuk K, Krogulska A. Colitis ulcerosa en un niño de 20 meses: a propósito de un caso. Arch Arg Ped [Internet]. 2018 [citado 27 May 2021]; 116(4)e599-e602. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-950050

2. Oliva NN, Calzado BA, Vergara AR, Fernández GAS, Alcorta RTM, Guerrero RD. Colitis ulcerativa. Presentación de un caso clínico. Inv Medicoquir [Internet]. 2019 [citado 27 May 2021]; 11(Suppl 1):[aproximadamente 8 p.]. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=86694

3. Magro F, Gionchetti P, Eliakim R, Ardizzone S, Armuzzi A, Barreiro-de Acosta M, et al. Third European Evidence-based Consensus on Diagnosis and Management of Ulcerative Colitis. Part 1: Definitions, Diagnosis, Extra-intestinal Manifestations, Pregnancy, Cancer Surveillance, Surgery, and Ileo-anal Pouch Disorders. J Crohn's Colitis [Internet]. 2017 Jun [citado 27 May 2021]; 11(6):649-670. DOI: https://doi.org/10.1093/ecco-jcc/jjx008

4. Acosta M. Colitis ulcerosa. Medicine-Prog Formn Méd Contin Acred [Internet]. 2016 [citado 27 May 2021]; 12(5):227-241. DOI: https://doi.org/10.1016/j.med.2016.02.019

5. Figueroa C, Lubascher J, Ibáñez P, Quera R. Algoritmos de tratamiento de la colitis ulcerosa desde una experiencia local. Rev Méd Las Condes [Internet]. 2018 Sep-Oct [citado 27 May 2021]; 29(5):570-579. DOI: https://doi.org/10.1016/j.rmclc.2018.04.013

6. Grez C, Ossa JC. Enfermedad inflamatoria intestinal en pediatría, una revisión. Rev Méd Clín Las Condes [Internet]. 2019 [citado 27 May 2021]; 30(5):372-382. DOI: https://doi.org/10.1016/j.rmclc.2019.06.009

7. Burisch J, Munkholm P. The epidemiology of inflammatory bowel disease. Scand J Gastroenterol [Internet]. 2015 Aug. [citado 27 May 2021]; 50(8):942-951, Disponible en: https://pubmed.ncbi.nlm.nih.gov/25687629/

8. Juliao-Baños F, Puentes F, López R. Caracterización de la enfermedad inflamatoria intestinal en Colombia: resultados de un registro nacional. Rev Gastroenterol Méx [Internet]. 2021 [citado 27 May 2021]; 86(2):153-162. DOI: https://doi.org/10.1016/j.rgmx.2020.05.005

9. León Rendón JL de, Jiménez Bobadilla B, López Pérez RY. Colitis ulcerosa crónica idiopática: epidemiologia, características clínicas y factores asociados al tratamiento quirúrgico en un hospital de tercer nivel en México. Cir Ciruj [Internet]. 2019 [citado 27 May 2021]; 87(4):450-458. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=87974

10. Yamamoto-Furusho JK, Bosques-Padilla F, de-Paula J, et al. Diagnosis and treatment of inflammatory bowel disease: First Latin American Consensus of the Pan American Crohn’s and Colitis Organisation. Rev Gastroenterol Mex [Internet]. 2017 [citado 27 May 2021]; 82(1):46-84. DOI: https://doi.org/10.1016/j.rgmx.2016.07.003

11. Levine A, Griffiths A, Markowitz J, et al. Pediatric modification of the Montreal classification for inflammatory bowel disease: the Paris classification. Inflamm Bowel Dis [Internet]. 2011 [citado 27 May 2021]; 17(6):1314-21. DOI: https://doi.org/10.1002/ibd.21493

12. Henderson P, Hansen R, Cameron FL, et al. Rising incidence of pediatric inflammatory bowel disease in Scotland. Inflamm Bowel Dis [Internet]. 2012 [citado 27 May 2021]; 18(6):999-1005. DOI: https://doi.org/10.1002/ibd.21797

13. Benchimol E, Mack DR, Nguyen GC, et al. Incidence, outcomes, and health services burden of very early onset inflammatory bowel disease. Gastroenterology [Internet]. 2014 Oct [citado 27 May 2021]; 147(4):803-13.e7. DOI: https://doi.org/10.1053/j.gastro.2014.06.023

14. Barreiro de Acosta M. Colitis ulcerosa. Medicine [Internet]. 2016 Mar [citado 27 May 2021]; 12(5)227-241. Disponible en: https://www.medicineonline.es/es-colitis-ulcerosa-articulo-S0304541216000585

15. Calvo Arana H, Castillo Vásquez LT, Castro Sánchez DR. Colitis ulcerosa: a propósito de un caso. Rev Med Trujillo [Internet]. 2017 [citado 27 May 2021]; 12(3):139-43. Disponible en: https://revistas.unitru.edu.pe/index.php/RMT/article/view/1612

16. Steele S, Hull T, Read T, Saclarides T, Senagore A, Whitlow C. The ASCRS Textbook of Colon and Rectal Surgery. Cham: Springer International Publishing; 2016.

17. Schwartz S, Brunicardi F, Andersen D. Principios de cirugía. México: McGraw-Hill Interamericana; 2015.
18. Beck D, Wexner S, Rafferty J. Principles and Practice of Surgery for the Colon, Rectum, and Anus. 4ed. Thieme Georg Verlag; 2019.

19. Mohammed N, Subramanian V. Clinical relevance of endoscopic assessment of inflamation in ulcerative colitis: can endoscopic evaluation predict outcomes? World J Gastroenterol [Internet]. 2016 [citado 27 May 2021]; 22(42): 9324-32. DOI: https://doi.org/10.3748/wjg.v22.i42.9324

20. Pizarro G, Quera R, Figueroa C. Factores pronósticos de Colitis Ulcerosa de reciente diagnóstico. Rev Med Chile [Internet]. 2017 [citado 27 May 2021]; 145(10):1319-1329. DOI: http://dx.doi.org/10.4067/S0034-98872017001001319

21. Gomollón F, García-López S, Sicilia B, Gisbert J, Hinojosa J. Therapeutic guidelines on ulcerative colitis: A GRADE methodology based effort of GETECCU. Gastroenterol Hepatol [Internet]. 2013 Feb [citado 27 May 2021]; 36(2):104-14. DOI: https://doi.org/10.1016/j.gastrohep.2012.09.006

22. Montoro Romero M, Juanes de Toledo B, Medina Benítez E, Rodríguez Gil Y, Ballén Barragán A. Colitis ulcerosa: a propósito de un caso. Scielo.isciii.es. 2010 [citado 27 May 2021]. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1139-76322010000600008

23. Juliao Baños F. Colitis ulcerativa aguda severa: Presentación de un caso y revisión de la literatura. www.scielo.org.co. 2012 [citado 27 May 2021]. Disponible en: http://www.scielo.org.co/scielo.php?pid=S012099572012000400008&script=sci_abstract&tlng=pt

24. Correoso J, Yard Y, Arcia E. Colitis Ulcerativa Crónica Idiopática: reporte de un caso. Rev Méd Cient [Internet]. 2019 [citado 27 May 2021]; 32(1):12-18. DOI: https://doi.org/10.37416/rmc.v32i0.543

25. Mackner LM, Greenley RN, Szigethy E, Herzer M, Deer K, Hommel KA. Psychosocial issues in pediatric inflammatory bowel disease: report of the North American Society for Pediatric Gastroenterology Hepatology, and Nutrition. J Ped Gastroenterol Nutr [Internet]. 2013 [citado 27 May 2021]; (56):449-458. DOI: https://doi.org/10.1097/MPG.0b013e3182841263

Published

2021-06-19

How to Cite

1.
Acosta-Hernández Y, Vanterpool-Hector M, Soares-Menezes A. Ulcerative colitis: about a pediatric case. Rev Inf Cient [Internet]. 2021 Jun. 19 [cited 2025 Apr. 4];100(3):e3517. Available from: https://revinfcientifica.sld.cu/index.php/ric/article/view/3517

Issue

Section

Case Reports