2014, Number 4
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Rev Mex Cir Pediatr 2014; 18 (4)
Recurrent intussusception secondary to appendiceal polyp
Ramírez-Pérez JE, Montalvo-Marín A, Sánchez-Paredes V, Borbolla-Sala E, Ruiz-Cardeña JE
Language: Spanish
References: 30
Page: 217-224
PDF size: 245.37 Kb.
ABSTRACT
Introduction . Intussusception is one of the most common diseases in children, affecting mainly infants. In 95 % of cases the etiology is idiopathic
and only the remaining 5% has a invaginant point . Recurrent intussusception is unusual associating with multiple causes, such as Meckel's diverticulum
and intestinal polyps. Signs and symptoms are less specific than the classical paintings of intussusception. Laparotomy should be performed in patients
with recurrent intussusception with suspected pathological lead point .
Case Presentation . Male 4 years old, started a month before the presence of colic, diffuse abdominal pain, vomiting and stomach , which sent .
Three weeks later he presented with colicky abdominal pain increased in intensity, accompanied by gastric vomiting, subsequently submitted clinical data
of acute abdomen. Exploratory laparotomy was performed observing ceco - colic intussusception sent a polyp attached to the appendiceal base.
Discussion . Recurrent intussusception is a rare entity . Usually in children over 1 year. Juvenile polyps can rarely manifest as intussusception.
Treatment in secondary intussusception should be at laparotomy .
REFERENCES
1.-Coran Arnold. Pediatric Surgery. 7a. Edition. Vol
Cap 85, Elsevier 2012,. pp 1093-1110. 2.Jimenez Joel. Invaginación Intestinal en Pediatría. Revista Mexicana de Cirugía Pediátrica; 12 (4), 2005: 195-203
3.-K.D. Slam, D.H. Teitelbaum. Multiple sequential intussusceptions causing bowel obstruction in a preterm neonate 1281 Journal of Pediatric Surgery; 2007 (42), 1279–1281
4.- Quian J, Mas Mariana, Jurado R., Invaginación intestinal: estudio de su incidencia durante un año en Uruguay, Arch Pediatr Urug 2005; 76(2): 106-110.
5.- Norambuena C., Yáñez J. Invaginación intestinal recurrente secundaria a apéndice cecal invaginado. Caso clínico, Rev Chil Pediatr 2012; 83 (6): 595-598
6.- Ransang Niramis, et al. Management of recurrent intussusception: nonoperative or operative reduction? Journal of Pediatric Surgery, 2010 (45), 2175–2180
7.- Martínez Biarge et al. Intussusception in a preterm neonate; a very rare, major intestinal problem – systematic review of cases J Perinat. Med. 2004 (32):190–194
8.- Nadja Apelt et al. Laparoscopic treatment of intussusception in children: A systematic review Journal of Pediatric Surgery ;2013 (48), 1789–1793
9.- B Z Koplewitz, N Simanovsky, P D Lebensart et al. Air encircling the intussusceptum on air enema for intussusception reduction: an indication for surgery? The British Journal of Radiology, 2011(84) : 719–726
10.- Kaiser AD, Applegate KE, Ladd HP. Current success in the treatment of intussusception in children. Surgery 2007;(142): 469-477.
11.- Baeza-Herrera C.,Salinas-Montes J., Montero-Uzcanga J.,Velasco-Soria J.,Godoy-Esquivel A. Invaginación intestinal en mayores de un año, Acta Pediatr Mex 2006;27(6):329-32.
11.- Ossés J.A., Mariño L., Gabrielli F Grendene A.,et al. Invaginación recurrente múltiple por pólipo juvenil, Arch.argent.pediatr 2003; 101(4):265-269
13.- Ozgur Kormaz, Hatice Gulflen Yilmaz, Fahri Yilmaz: Intussusception due to Inflammatory Fibroid Polyp Located at Ileum: Report of Two Cases, Turk J Med Sci 2007; 37 (3): 181-184.
14.- Arzuaga Anderson I. Gutiérrez Pérez O. Invaginación intestinal por pólipo fibroide inflamatorio del íleon. presentación de 1 caso. Rev Cubana Cir 2001;40(1):59-62
15.- Pracros JP, Tran-Minh VA, Morin DE, et al: Acute intestinal intussusception in children: Contribrution of ultrasonography. Ann Kadiol 1987 (30): 525-530.
1.-Coran Arnold. Pediatric Surgery. 7a. Edition. Vol
Cap 85, Elsevier 2012,. pp 1093-1110. 2.Jimenez Joel. Invaginación Intestinal en Pediatría. Revista Mexicana de Cirugía Pediátrica; 12 (4), 2005: 195-203
3.-K.D. Slam, D.H. Teitelbaum. Multiple sequential intussusceptions causing bowel obstruction in a preterm neonate 1281 Journal of Pediatric Surgery; 2007 (42), 1279–1281
4.- Quian J, Mas Mariana, Jurado R., Invaginación intestinal: estudio de su incidencia durante un año en Uruguay, Arch Pediatr Urug 2005; 76(2): 106-110.
5.- Norambuena C., Yáñez J. Invaginación intestinal recurrente secundaria a apéndice cecal invaginado. Caso clínico, Rev Chil Pediatr 2012; 83 (6): 595-598
6.- Ransang Niramis, et al. Management of recurrent intussusception: nonoperative or operative reduction? Journal of Pediatric Surgery, 2010 (45), 2175–2180
7.- Martínez Biarge et al. Intussusception in a preterm neonate; a very rare, major intestinal problem – systematic review of cases J Perinat. Med. 2004 (32):190–194
8.- Nadja Apelt et al. Laparoscopic treatment of intussusception in children: A systematic review Journal of Pediatric Surgery ;2013 (48), 1789–1793
9.- B Z Koplewitz, N Simanovsky, P D Lebensart et al. Air encircling the intussusceptum on air enema for intussusception reduction: an indication for surgery? The British Journal of Radiology, 2011(84) : 719–726
10.- Kaiser AD, Applegate KE, Ladd HP. Current success in the treatment of intussusception in children. Surgery 2007;(142): 469-477.
11.- Baeza-Herrera C.,Salinas-Montes J., Montero-Uzcanga J.,Velasco-Soria J.,Godoy-Esquivel A. Invaginación intestinal en mayores de un año, Acta Pediatr Mex 2006;27(6):329-32.
11.- Ossés J.A., Mariño L., Gabrielli F Grendene A.,et al. Invaginación recurrente múltiple por pólipo juvenil, Arch.argent.pediatr 2003; 101(4):265-269
13.- Ozgur Kormaz, Hatice Gulflen Yilmaz, Fahri Yilmaz: Intussusception due to Inflammatory Fibroid Polyp Located at Ileum: Report of Two Cases, Turk J Med Sci 2007; 37 (3): 181-184.
14.- Arzuaga Anderson I. Gutiérrez Pérez O. Invaginación intestinal por pólipo fibroide inflamatorio del íleon. presentación de 1 caso. Rev Cubana Cir 2001;40(1):59-62
15.- Pracros JP, Tran-Minh VA, Morin DE, et al: Acute intestinal intussusception in children: Contribrution of ultrasonography. Ann Kadiol 1987 (30): 525-530.
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