Segmental Colonic Gangrene: A Surgical Emergency in the Hemolytic-Uremic Syndrome

Abstract
A 2 1/2 yr old girl had rectal bleeding, an abdominal mass and diffuse peritonitis. A segment of gangrenous colon was removed. Following surgery she developed the hemolytic-uremic syndrome (HUS), which is characterized by renal failure, hemolytic anemia and thrombocytopenia. The intestinal manifestations associated with HUS are stressed. Gangrenous bowel can occur in these patients, and their survival may depend on resectional surgery.

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