An Uncommon complication of a common disease; Pneumatosis Intestinalis in an Infant with Kawasaki Disease

We present a case of a 7 month old child diagnosed with typical Kawasaki disease who developed acute abdominal distention during the course of the disease, with Pneumatosis intestinalis. A myriad of clinical and laboratory characteristics feature Kawasaki disease including the gastrointestinal tract. common finding consist of diarrhea, vomiting, abdominal pain, hepatitis, cholestasis, and gallbladder hydrops. So far, gastrointestinal involvment in Kawasaki disease patients has been described mainly in small scale retrospective series and case reports. In our case Pneumatosis Intestinalis was the cause of an Atypical gastrointestinal involvment during the course of the disease and resolved with conservative treatment. Pediatricians should be aware of this possibile complication and have a high index of suspicion of various gastrointestinal manifestations in Kawasaki disease.