RT Journal
A1 Poe LB, Wood BP
T1 RAdiological cases of the month
JF American Journal of Diseases of Children
JO American Journal of Diseases of Children
YR 1989
FD December 1
VO 143
IS 12
SP 1481
OP 1482
DO 10.1001/archpedi.1989.02150240103028
UL http://dx.doi.org/10.1001/archpedi.1989.02150240103028
AB A 4-year-old, previously well girl was admitted to an outside hospital with an acute illness consisting of abdominal pain, watery diarrhea, and nonbilious vomiting. She was presumed to have an acute gastroenteritis with dehydration. She was transferred to our institution 48 hours later after her diarrhea became bloody. The patient's white blood cell count was 39× 109/L and rising, her platelet count was 90 × 109/L and falling, and her hemoglobin level was 100 g/L and falling. Only erythematous mucosa was found at proctoscopy. Abdominal roentgenography (Fig 1) and barium enema examination (Fig 2) were performed.Denouement and Discussion 
    Gastrointestinal Manifestations of Hemolytic Uremic Syndrome 
    Hemolytic uremic syndrome (HUS) is a disease of unknown origin usually occurring in children younger than 4 years. The pathologic findings resemble a microangiopathy and are associated with an angiitis and the formation of platelet thrombi resulting in the classic triad