COLON PERFORATION IN HYPERIMMUNOGLOBULIN-E SYNDROME

Colon perforation from hyperimmunoglobulin E syndrome is very rare, an d only one case has been reported in the English-language literature. Herein, the authors report another case of colon perforation experienc ed in hyperimmunoglobulin E syndrome. The patient was an 8-year-old gi rl with frequent infection, eczematoid dermatitis, and an increased se rum level of immunoglobulin E. During admission, panperitonitis develo ped caused by colon perforation. Treatment was resection of the perfor ated segment of the colon and a double-barrel colostomy. The patient h as been doing well 18 months after treatment. Copyright (C) 1998 by W. B. Saunders Company.