Galván-Montaño A, Suárez-Roa ML, Estrada-Hernández MR

Language: Spanish
References: 17
Page: 546-549
PDF size: 177.23 Kb.

ABSTRACT

Background: intussusception is the most common cause of acute bowel obstruction in infants and young children. Incidence has been reported as 1.5 to 4 cases per 1,000 live births. Most intussusceptions are ileocecocolic. jejunal intussusceptions in children is extremely rare
Clinical case: a 1-year-old male was admitted to the emergency department which diarrhea evacuations, without mucus or blood, craying and irritable. Previously had melaena in one occasion. The abdomen was found soft and depressible and low pain. He was treated with ceftriaxone, omeprazole and metoclopramide. Two days after admission had melaena and rectal bleeding. Plain abdominal radiography showed air fluid levels. Abdominal surgery was performed finding jejunal intussusceptions who was reduced. Demonstrable lesion as a lead point was a small tumor that was removed. Pathologist report pancreatic islets cells.
Conclusions: jejunal intussusceptions in children is extremely rare and occur at any age. Main symptoms are intermittent abdominal pain and vomiting. Ultrasonography is the study of choice. Often has a demonstrable lesion as a lead point for the intussusceptions therefore requires open or laparoscopic surgery. Is unusual the presence of ectopic pancreatic tissue as a lead point.

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