1.Postoperative intussusception in children: a review of 14 cases.
Zhi-bin NIU ; Ying HOU ; Chang-lin WANG
Chinese Medical Sciences Journal 2005;20(4):265-267
OBJECTIVETo search the etiologic factor, clinical diagnosis points and treatment of postoperative intussusception (PI).
METHODSTo retrospectively review the clinical materials of 14 cases with PI including the cause of disease and treatment.
RESULTSPI occurred within 10 days (average 4 days) after the primary operation. Bowel obstructive symptoms gradually emerged. One case was diagnosed with intussusception by sonography and received enema reduction of intussusception by hydrostatic pressure. Thirteen cases were performed secondary operation. Small intestine was main site of intussusception. Manual reduction of the lesion was performed in 12 cases and bowel resection and anastomosis was done in 1 case with bowel necrosis.
CONCLUSIONPI should be suspected if child presents with the symptoms of ileus in early postoperative period. Abdominal sonography may have some value on diagnosis of PI. Operation is the first choice for the treatment of PI.
Child ; Child, Preschool ; Female ; Humans ; Ileal Diseases ; diagnosis ; etiology ; surgery ; Infant ; Intestine, Small ; surgery ; Intussusception ; diagnosis ; etiology ; surgery ; Male ; Postoperative Complications ; Retroperitoneal Neoplasms ; surgery ; Retrospective Studies ; Teratoma ; surgery
2.Colonic Intussusceptions Caused by a Giant Lipoma.
The Korean Journal of Gastroenterology 2012;60(3):186-189
5.Chronic Intussusception Caused by Diffuse Large B-Cell Lymphoma in a 6-Year-Old Girl Presenting with Abdominal Pain and Constipation for 2 Months.
Sun Hee CHOI ; Sang Ah HAN ; Kyu Yeoun WON
Journal of Korean Medical Science 2016;31(2):321-325
The classical triad of abdominal pain, vomiting, and bloody stool is absent in chronic intussusception for more than 2 weeks. Here, we report a 6-year-old female with recurrent abdominal pain for 2 months. Ultrasonography of the abdomen revealed an ileocolic-type intussusception. The lesion accompanying the tight fibrous adhesion was treated by resection and ileocolic anastomosis. It was diagnosed as intussusception with diffuse large B-cell lymphoma. A high index of suspicion for abdominal pain in children should result in the correct diagnosis and appropriate management.
Abdominal Pain/*etiology/ultrasonography
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Child
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Constipation/*etiology
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Diagnosis, Differential
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Female
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Humans
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Intussusception/diagnosis/*etiology/surgery
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Lymphoma, Large B-Cell, Diffuse/*complications/*diagnosis
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Tomography, X-Ray Computed
6.Intussusception Secondary to Jejunal Lymphangioma in a 13-year-old Girl.
Ho Sung PARK ; Ho LEE ; Woo Sung MOON ; Seung Chan LEE ; Woo Bong CHOI ; Hyun Woong CHOI
The Korean Journal of Gastroenterology 2007;49(4):256-259
Lymphangioma is a benign tumor composed of numerous small or large thin-walled lymphatic spaces. It shows a predilection for head, neck, and axilla. Jejunal lymphangioma in children is extremely rare. We present a case of 13-year-old girl with jejuno-jejunal intussusception secondary to lymphangioma in jejunum. To our knowledge, this is the second report of jejunal lymphangioma causing intussusception in a child.
Adolescent
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Female
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Humans
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Intussusception/*etiology/surgery
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Jejunal Diseases/*etiology/surgery
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Jejunal Neoplasms/*complications/*diagnosis/pathology
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Lymphangioma/*complications/*diagnosis/pathology
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Tomography, X-Ray Computed
7.Intussusception: As the Cause of Mechanical Bowel Obstruction in Adults.
Murat CAKIR ; Ahmet TEKIN ; Tevfik KUCUKKARTALLAR ; Metin BELVIRANLI ; Ebubekir GUNDES ; Yahya PAKSOY
The Korean Journal of Gastroenterology 2013;61(1):17-21
BACKGROUND/AIMS: Intussusception in adults is rarely seen and causes misdiagnosis due to its appearance with various clinical findings. The cause of intussusception in adults is frequently organic lesions. In this study, the underlying etiologic factors, diagnostic methods and alternative methods of treatment are discussed in the light of the literature. METHODS: In this study, a retrospective evaluation was performed on 47 cases with the diagnoses of intussusception, who were operated on for bowel obstruction between 1990-2011 in Department of Surgery of Necmettin Erbakan University Meram Medical Faculty. Data related to presentation, diagnosis, treatment and pathology were analyzed. RESULTS: Twenty-four of the patients (51%) were female, and 23 were male (49%). Mean age (year) was 49 (range: 23-78) in female group, and 50 (range: 17-72) in male group. All patients presented mechanical bowel obstruction findings and underwent operation. Intussusception was caused by benign and malignant tumors in 38 patients, and other reasons in 3 cases. No reason could be determined in the other 6 cases. Only small intestine resection was applied in 29 cases, and large intestine resection was also applied in 17 cases. Reduction and fixation surgery was performed in one patient. No postoperative mortality was observed. CONCLUSIONS: Adult intussusception remains a rare cause of abdominal pain. Diagnosis of intussusception in adults is still difficult. Main treatment was surgical in most cases.
Adolescent
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Adult
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Aged
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Colonoscopy
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Female
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Humans
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Intestinal Neoplasms/complications/diagnosis
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Intestinal Obstruction/*diagnosis/etiology/surgery
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Intussusception/*diagnosis/surgery/ultrasonography
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Magnetic Resonance Imaging
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Male
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Middle Aged
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Retrospective Studies
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Tomography, X-Ray Computed
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Young Adult