Blood Clots Per Rectum in a Pediatric Patient With Salmonella Enteritis: A Case Report

• Published in: Curēus (Palo Alto, CA) Vol. 14; no. 8; p. e27618
• Main Authors: Shah, Puja, Rubia, Arnikka, Iqbal, Nimrah, Gonzalez, Lisandra, Basak, Ratna B
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 02.08.2022; Cureus
• Subjects: Abdomen; Antibiotics; Blood clots; Campylobacter; Case reports; Constipation; Diarrhea; Family medical history; Feces; Fever; Gastroenterology; Hemoglobin; Hernias; Infectious Disease; Inflammatory bowel disease; Ischemia; Laboratories; Pain; Patients; Pediatrics; Polymerase chain reaction; Proteins; Respiration; Salmonella; Small intestine; Thrombosis; Ultrasonic imaging; hematochezia; lower gi bleed; blood clots per rectum; salmonella enteritis; bloody stool
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.27618

Infection is a common cause of hematochezia in children. While infectious diarrhea can present with bloody stools, it is rare to have the passage of frank blood clots per rectum in the pediatric population. This is a case of a seven-year-old male who presented with vomiting, diarrhea, severe abdominal pain, and passage of blood clots per rectum. As symptoms progressed, consideration of non-infectious causes was investigated and subsequently ruled out. The stool polymerase chain reaction (PCR) was positive for Salmonella species, while stool culture was negative for any enteropathogen. This report highlights the unusual occurrence of the passage of blood clots per rectum in a child with salmonella enterocolitis.