Gastrointestinal perforation is a surgical emergency in the pediatric patient and any delay in diagnosis might be hazardous. In immunocompromised children, the clinical signs of perforation may be blunted. We describe a child with acute lymphoblastic leukemia (ALL) and a perforated appendix and ileum in whom computerized tomography (CT) revealed extraluminal air that was not initially identified on plain abdominal film. Our case demonstrates the importance of early abdominal CT and ultrasound examination in detecting these potentially lethal complications. © 1995 Wiley‐Liss, Inc.
- acute leukemia
- perforated appendicitis
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Cancer Research