Diagnostic peritoneal lavage for assessing acute abdomen in pediatric oncology and stem cell transplantation patients

Ashish Kumar, Daniel Saltzman, Mayank Shukula, Victor Lewis, Richard Wendorf, Martin Sauer, Joseph Neglia, K. Scott Baker, Margaret MacMillan, Marie E. Steiner

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Diagnostic peritoneal lavage (DPL) is a technique designed to sample the peritoneal cavity for evidence of catastrophic pathology, while incurring minimum risk. The authors describe two unstable pediatric patients, one with acute lymphoblastic leukemia and shock and one with Fanconi anemia on high-frequency oscillation after stem cell transplantation, both presumed to have intra-abdominal perforation. DPL was uneventfully performed at the bedside in both patients. The authors suggest DPL be considered as an alternative to laparotomy in critically ill pediatric oncology and stem cell transplantation patients.

Original languageEnglish (US)
Pages (from-to)824-826
Number of pages3
JournalJournal of pediatric hematology/oncology
Volume26
Issue number12
StatePublished - Dec 1 2004

Keywords

  • Acute abdomen
  • Acute lymphoblastic leukemia
  • Diagnostic peritoneal lavage
  • Fanconi anemia
  • Shock
  • Stem cell transplant

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