Air reduction of intussusception after abdominal blunt trauma and a literature review

Abstract

The typical presentation of intussusception includes intermittent severe abdominal pain, vomiting, rectal bleeding, and the presence of an abdominal mass. We present a case of intussusception after abdominal blunt trauma along with a literature review. A 4-year-old girl was admitted to the emergency department after a bicycle accident. She complained of progressively worsening abdominal pain, but there was no vomiting, fever, bloody stool, or abdominal mass. She was finally diagnosed with traumatic intussusception by ultrasonography and treated with air reduction. Because the typical symptoms are unusual in traumatic intussusception, close attention must be paid to avoid a delayed diagnosis.

Multiple intussusceptions after blunt abdominal trauma in a 9-year-old boy: A case report and literature review

“…From 1925 to 2021, 28 cases have been reported in the literature. Only 12 cases described pediatric patients younger than 15 years of age ( Table 1 ) [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] . Of these 12 cases, 11 cases discussed small bowel intussusception and one case discussed ileocolic intussusception [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] .…”

“…As a result, manual reduction or bowel resection was performed in 10 of the 12 cases mentioned above. In 2016, Kwon et al treated traumatic ileocolic intussusception in a 4-year-old girl with air reduction [13] . Meanwhile, only two patients were treated conservatively: a 12-year-old child in 2009 and a 15-year-old child in 2021 [9] , [12] .…”

“…This case report is the first record of the spontaneous resolution of multiple traumatic intussusceptions in a pediatric patient using conservative management. Most treatments reported in the literature involve surgical interventions, including manual reduction or bowel resection [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] . However, there is no established standard for conservative management, which might entail a more advantageous outcome and less burden for the patient than surgical interventions.…”

“…However, traumatic intussusception is rare. Only 12 cases of pediatric trauma-induced intussusceptions have been reported in the literature [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] . Most traumatic intussusceptions were treated surgically, and among them, there were no cases of multiple traumatic intussusceptions treated with conservative management.…”