Intususcepción e invaginación son los términos que se utilizan para describir Su incidencia es más frecuente en niños, y en adultos representa el % de las . Invaginación intestinal en pediatrico de 5 meses de edad. UMAE Pediatria – CMNO, Gdl, Jal. DESCRIPCION Una intususcepción es una obstrucción intestinal en la que el a personas de todas las edades, pero es más común en bebés y niños entre los .
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Ileocolorectal intussusception due to caecal hamartoma. This is a case report of a year old boy with an ileocolorectal intussusception from a large caecal hamartoma 10 x 6 x 2 cm3 adjacent to the ileocaecal valve. Partial resection of the ascending colon and terminal ileum was performed, and the pathology of the resected mass revealed a hamartoma.
Ileocolorectal intussusception secondary to hamartoma represents a particularly rare event in the paediatric population. With early surgical intervention, this patient’s outcome was uneventful. Intussusception represents the most common non-traumatic cause of an acute abdomen in children 1. Children presenting at older ages are intususcepxion likely to have a pathologic lead point as the aetiology of their intussusceptions.
The initial presenting symptoms often vary, and the classic symptoms, such as abdominal pain, currant jelly stool and palpable mass, occur infrequently 2, 3. We describe a child with intractable abdominal pain as the initial presenting symptom of intussusception due to a caecal hamartoma.
A year old boy with intractable abdominal pain was referred to the paediatric emergency department from a local clinic. The patient had experienced the same symptom on three separate occasions during the preceding month.
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On those occasions, he was treated with glycerine enemas to relieve significant intususcepcipn. His past medical and surgical niios were otherwise unremarkable. The patient denied anorexia, nausea, vomiting or haematochezia. He noted decreased stool frequency and a sensation of incomplete defecation for one week prior to presentation. On examination, he was afebrile, and the abdomen was soft and mildly distended with generalized tenderness over the entire abdomen, but there was no rebound tenderness.
A palpable mass was detected in the left lower quadrant LLQ of the abdomen.
His haemoglobin was Other laboratory test results nos normal with the exception of an elevated C-reactive protein 3. Abdominal sonography of this palpable mass revealed a heterogeneous entity, and abdominal computed tomography Intusudcepcion showed a long-segment ileocolorectal intussusception with a 15 x 8 x 3 cm3 fat-containing mass in the rectum Figs.
The patient underwent an ileocolic resection, which included the removal of the giant mass located near the ileocaecal valve Figs. Histology showed a benign hamartoma with a significant amount of adipose tissue and blood vessel proliferation.
The post-operative recovery was uneventful. Intussusception is a common paediatric disease, ranking second only to appendicitis nioss the most common cause of paediatric abdominal emergencies 1. Intussusception was first described in by Hunter et al and the first successful operative reduction was performed by Hutchinson et al in 3.
The classic presentation of intussusception ieabdominal pain, red currant jelly stools and palpable mass occurs in only 7. Careful physical examination and the presence of a palpable mass should warrant consideration of intussusception. Despite the presence of unspecific abdominal pain and a history of chronic constipation, careful physical examination of the patient revealed a palpable mass over the LLQ of the abdomen.
The CT scan readily identified the intussusception. Intussusception should always be considered in the differential diagnosis of constipation and LLQ abdominal mass.
When intussusception is suspected, abdominal sonography and CT scan are effective diagnostic modalities. Surgical resection intsuuscepcion required for any identified pathologic lead point 3, 9, Prompt diagnosis and management of intussusception prevents complications and prolonged hospitalization.
Acute abdomen in paediatric patients admitted to the paediatric emergency department.
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Pediatr Neonatol ; Intussusception in children of school age. Pediatr Int ; Waseem M, Rosenberg HK. Pediatr Emerg Care ; intususcepxion Acute intussusception in childhood.
The leadpoint in intussusception.
J Pediatr Surg ; Lipoma as a pathological lead point in a child with ileocolic intussusception. J Pediatr Gastroenterol Nutr ; Nonoperative treatment of intussusception.
Am J Dis Child ; Current radiological management of intussusception in children. Eur Radiol ; MDCT and 3D imaging in transient enteroenteric intussusception: Current success in the treatment of intussusception in children.