Intussusception of the small bowel in an adult associated with nephrotic syndrome

Long, Eva; Jt, Coyle; Plant, William D.; Barry, Josephine; Browne, Sarah

doi:10.1093/ndtplus/sfq114

Cited by 3 publications

(5 citation statements)

References 5 publications

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“…Furthermore, the intussusception interested the small bowel; Doi et al first considered small bowel intussusception to be nonischemic and, therefore, benign and susceptible to spontaneous reduction [19]. Supported by the literature [15,17,[19][20][21], we decided to adopt a conservative approach that led to a spontaneous reduction of intussusception. To our knowledge, this is one of the few pediatric cases of spontaneous resolution of intussusception in NS [15,17].…”

Section: Discussionmentioning

confidence: 99%

“…The association between intussusception and NS was first reported in 1975 [22]. Subsequently, in the following 45 years, only 11 case reports have been described in the literature [15,17,18,[20][21][22][23][24][25][26]. Characteristics of these patients are summarized in Table 3.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical picture, along with blood and instrumental tests, can help clinicians to make a differential diagnosis and to determine the suspected condition. Among the several causes of abdominal pain in the setting of NS, pediatric nephrologists should consider spontaneous bacterial peritonitis, especially if fever is present [5], and intussusception, less common, but remarkable disease, whose early recognition may improve prognosis [7].…”

Section: Introductionmentioning

confidence: 99%

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Acute abdominal pain and nephrotic syndrome: pediatric case reports and review of the literature

et al. 2021

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Background Acute abdominal pain in nephrotic syndrome (NS) is a well-known clinical symptom and is mainly related to peritonitis. The presence, although rare, of red umbilicus may guide the diagnosis as a suggestive sign of peritonitis also in the non-neonatal period. Instead, the association between intussusception and NS is quite limited. We reviewed all published cases in the literature, and to our knowledge, this is one of the few pediatric cases of spontaneous resolution of intussusception in the setting of NS. Finally, a review of the causes of abdominal pain during the course of NS was made. Cases presentation We report two pediatric patient cases who complained of acute abdominal pain during a relapse episode of their NS. The first case is a 4-year-old boy with NS (fourth relapse) who presented with acute abdominal pain, ascites, and red umbilicus. Our suspect of primary peritonitis was clinically confirmed because of the subsequent appearance of the classical peritoneal signs. The second case is a 4-year-old boy who developed an ileo-ileal intussusception during the treatment of his first NS relapse, with spontaneous reduction. Conclusions Gastrointestinal disorders are frequently encountered in the course of NS. The appearance of acute abdominal pain in children with NS requires quick management, both clinical and instrumental. A multidisciplinary team approach needs to be encouraged to lead to an accurate diagnosis and a correct treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Acute abdominal pain and nephrotic syndrome: pediatric case reports and review of the literature

et al. 2021

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“…Other conditions causing severe vomiting, such as kidney failure or uraemia, can also be a predisposing factor for intussusceptions. Moreover, there have been reports in human medicine of intussusceptions with chronic renal failure (Carr et al 1976;Long et al 2010). The aetiology of a pylorogastric intussusception, as in other intussusception types, is unclear.…”

Section: Discussionmentioning

confidence: 99%

Pylorogastric intussusception in a puppy with a congenital intrahepatic portosystemic shunt – a case report

Černá

Timmermans²,

Ceplecha

et al. 2019

Acta Vet. Brno

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A sixteen-week-old female Akita-inu puppy was presented for investigation of acute vomiting, diarrhoea, and abdominal distension. Abdominal ultrasound revealed a single congenital right-sided intrahepatic portosystemic shunt and pylorogastric intussusception, which spontaneously resolved during the next three days after initial examination. Owners elected for euthanasia due to the clinical deterioration of the patient that reflected in development of clinical signs associated with liver insufficiency, guarded prognosis and financial concerns for transjugular coil embolisation.

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“…Intussusception of small bowel in adult with nephrotic syndrome presenting with swollen limbs and effusion has been reported before. [ 2 ] Intussusception in nephrotic syndrome may be due to incoordinated gut motility and bowel wall edema. As seen in our patient, intussusception resolves with treatment of the underlying nephrotic syndrome without the need for any intervention.…”

mentioning

confidence: 99%

Small bowel intussusception in an adult with nephrotic syndrome

Ete¹,

Mondal²,

Sinha³

et al. 2014

Indian J Nephrol

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Intussusception of the small bowel in an adult associated with nephrotic syndrome

Cited by 3 publications

References 5 publications

Acute abdominal pain and nephrotic syndrome: pediatric case reports and review of the literature

Acute abdominal pain and nephrotic syndrome: pediatric case reports and review of the literature

Pylorogastric intussusception in a puppy with a congenital intrahepatic portosystemic shunt – a case report

Small bowel intussusception in an adult with nephrotic syndrome

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