Lin Hugo You-Hsien, Chen Tun-Chieh, Chen Yen-Hsu, Lu Po-Liang, Lin Wei-Ru, Yang Yuan-Chieh
Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
J Formos Med Assoc. 2008 Aug;107(8):659-62. doi: 10.1016/S0929-6646(08)60184-9.
Skin manifestations due to intra-abdominal infection are uncommon but could be a warning sign of severe infection. We report a 58-year-old uremic female who had acute cholecystitis and pneumatosis intestinalis. She developed periumbilical hemorrhagic bullae and finally had a fatal outcome with medical therapy. Severe intra-abdominal infection such as pneumatosis intestinalis should be suspected when periumbilical bullae increase in size.
