Case Summary
- 4-yr-old male presents to the emergency department with a history of 3 mo of intermittent abdominal pain.
- He also has a history of pinworms.
- After a bowel movement, he reported he had severe anal pain with a visible protrusion from the anus.
- Ten-year-old male presents to the ED with severe left sided abdominal pain and discharge from the anus.
- He is febrile and tachycardic. He is admitted and ultimately diagnosed with Shigella colitis with overflow diarrhea into the efferent limb of his loop transverse colostomy. Also, he was a Syrian refugee who immigrated to Canada. No prior medical records available.
