A Case of Intussusception with Acute Appendicitis
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
In children presenting to hospital with gastrointestinal symptoms, diseases such as intussusception and acute appen-dicitis require particular attention and careful examination. Early diagnosis and proper treatment are important be-cause of possible severe complications such as peritonitis and death. Intussusception and appendicitis share similar clinical manifestations. More importantly, the presence of acute appendicitis together with intussusception in children is very rare. We describe an interesting case of a 38-month-old boy who presented with abdominal pain in the right lower quadrant. His vital signs were stable and laboratory test findings showed no specific alterations. We detected tenderness in the right lower quadrant. A computed tomography scan showed an ileocolic intussusception with no strangulation and diffuse wall thickening of the appendix trapped within the intussusception. The patient underwent an appendectomy and manual reduction.
Abstract
In children presenting to hospital with gastrointestinal symptoms, diseases such as intussusception and acute appen-dicitis require particular attention and careful examination. Early diagnosis and proper treatment are important be-cause of possible severe complications such as peritonitis and death. Intussusception and appendicitis share similar clinical manifestations. More importantly, the presence of acute appendicitis together with intussusception in children is very rare. We describe an interesting case of a 38-month-old boy who presented with abdominal pain in the right lower quadrant. His vital signs were stable and laboratory test findings showed no specific alterations. We detected tenderness in the right lower quadrant. A computed tomography scan showed an ileocolic intussusception with no strangulation and diffuse wall thickening of the appendix trapped within the intussusception. The patient underwent an appendectomy and manual reduction.
참고문헌 (18)
- McCollough M, "Abdominal surgical emergencies in infants and young children", Emerg Med Clin North Am, 21, pp.909~935 (2003)
- 김준성, "Acute Abdominal Pain in Children", Pediatric Gastroenterology, Hepatology & Nutrition, 16(4), pp.219~224 (2013), 대한소아소화기영양학회
- Jiang J, "Childhood intussusception: a literature review", PLoS One, 8, pp.e68482~ (2013)
- Hardin DM Jr, "Acute appendicitis: review and update", Am Fam Physician, 60, pp.2027~2034 (1999)
- Peyvasteh M, "Intussuception at atypical ages in children and adults--11 years experiences", Pol Przegl Chir, 83, pp.304~309 (2011)
- Cochran AA, "Intussusception in traditional pediatric, nontraditional pediatric, and adult patients", Am J Emerg Med, 29, pp.523~527 (2011)
- Ksia A, "Recurrent intussusception in children and infants", Afr J Paediatr Surg, 10, pp.299~301 (2013)
- Mills RW, "Intussusception caused by heterotopic pancreatic tissue in a child", Fetal Pediatr Pathol, 30, pp.106~110 (2011)
- Sonmez K, "Intussusception in children:experience with 105 patients in a department of paediatric surgery, Turkey", S Afr J Surg, 50, pp.37~39 (2012)
- Soccorso G, "A ganglioneuroma of the sigmoid colon presenting as leading point of intussusception in a child: a case report", J Pediatr Surg, 44, pp.e17~20 (2009)
- Gal R, "Adenomyomatous hamartoma of the small intestine: a rare cause of intussusception in an adult", Am J Gastroenterol, 81, pp.1209~1211 (1986)
- Gurbulak B, "Heterotopic pancreas as a leading point for small-bowel intussusception in a pregnant woman", JOP, 8, pp.584~587 (2007)
- Bevan PG, "Intussusception and acute appendicitis", Br Med J, 1, pp.931~932 (1957)
- Kang J, "Cecocolic intussusception in adult caused by acute appendicitis", Case Rep Surg, 2014, pp.108327~ (2014)
- Lee CT, "Primary appendiceal adenocarcinoma with cecocolic intussusception", J Gastroenterol Hepatol, 21, pp.1079~1081 (2006)
- Pepper VK, "Diagnosis and management of pediatric appendicitis, intussusception, and Meckel diverticulum", Surg Clin North Am, 92, pp.505~526 (2012)
- Mc Cabe K, "Management of children with possible appendicitis:a survey of emergency physicians in Australia and New Zealand", Emerg Med Australas, 26, pp.481~486 (2014)
- Cheong LH, "Outcomes of pediatric appendicitis:an international comparison of the United States and Canada", JAMA Surg, 149, pp.50~55 (2014)