Small intestinal ulcers in hemophagocytic lymphohistiocytosis presenting as acute appendicitis

Rachel Kassel, Jason O. Robertson, Vanderlene L. Kung, Frances V. White, Andrew S. Cluster, Monica L. Hulbert, Adam M. Vogel

Research output: Contribution to journalArticle

Abstract

We report the first case of a child with hemophagocytic lymphohistiocytosis (HLH) who presented with signs and symptoms mimicking acute appendicitis. Laparoscopy demonstrated ulcerated small intestinal plaques, and microscopic examination of that tissue showed necroinflammatory exudate and erythrophagocytosis. HLH manifesting as small intestinal ulcers has not been previously described.

Original languageEnglish
Pages (from-to)325-327
Number of pages3
JournalJournal of Pediatric Surgery Case Reports
Volume2
Issue number6
DOIs
StatePublished - Jun 2014

Keywords

  • Appendicitis
  • Hemophagocytic lymphohistiocytosis
  • Small intestinal ulcers

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