Laparoscopic approach for managing intussusception in children: Analysis of 65 cases

Li, Sheng-Miao; Wu, X M; Luo, Chunfen; Yu, Lin-Jun

doi:10.12998/wjcc.v10.i3.830

Cited by 7 publications

(7 citation statements)

References 20 publications

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“…Wang (2010) [10] reported a similar case in a 10-year-old male who presented with intussusception and acute appendicitis secondary to ileocecal Burkitt lymphoma. This finding correlates with that reported by Sheng-Miao (2022) [9], Tomography allows thorough characterization of the lesion, vascular compromise, and related complications, as well as the cause of intussusception (anatomic abnormalities or tumor processes) [12].…”

Section: Discussionsupporting

confidence: 89%

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Intususcepción intestinal en el contexto de una apendicitis aguda

Mafla,

Zambrano,

Álvarez

2023

REV-SEP

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Introducción: La intususcepción es una patología abdominal idiopática o secundaria a procesos intestinales que actúan como puntos de partida para la invaginación. Se han descrito casos de arrastre de estructuras que derivan en otros procesos inflamatorios como la apendicitis aguda. Caso clínico: Niño 3 años, con dolor abdominal de 6 horas de evolución. Al examen físico se presenta pálido, somnoliento, taquicárdico y deshidratado. El abdomen con signos apendiculares positivos, con palpación en masa en fosa iliaca derecha. Taller diagnóstico: Leucocitos 9690 u/mm3, neutrófilos 58.1%. Ecografía con imagen sugerente de intususcepción intestinal con cambios inflamatorios en la grasa mesentérica. Se realiza tomografía abdominal que reporta intususcepción ileocolónica de 47 x 50 mm, con múltiples ganglios reactivos mesentéricos, con imagen apendicular en dirección pélvica, con apendicolito en su interior. Evolución: El manejo quirúrgico incluyó una laparotomía exploratoria con desinvaginación manual y apendicectomía convencional. El reporte de patología fue apendicitis aguda supurativa. El paciente 48 horas hospitalizado, recibió Ampicilina + Sulbactam y analgesia. Al mejorar la función abdominal fue dado de alta. Conclusiones: En este caso la apendicitis aguda fue la causa de intususección intestinal con el signo ecográfico de la “diana” en un paciente de 3 años de edad.

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Section: Discussionsupporting

confidence: 89%

“…followed by ileoileocolic, colocolic, ileocolocolic, ileoileal, and jejunojejunal [5][6][7][8][9]. In the present case, the ileocolic location associated with appendiceal invagination is described, leading to acute appendicitis that required surgical resolution.…”

Section: Discussionmentioning

confidence: 65%

Intususcepción intestinal en el contexto de una apendicitis aguda

Mafla,

Zambrano,

Álvarez

2023

REV-SEP

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“…A recent study revealed a case of small bowel obstruction in a total of 100 children who had laparotomy without ileopexy [ 18 ]. In contrast, in another recently published study, it was shown that no small intestine adhesion or obstruction occurred in a total of 61 children who had ileopexy [ 19 ].…”

Section: Discussionmentioning

confidence: 95%

“…It is speculated that bowel resection removes the segment responsible for intussusception, thereby preventing recurrence [ 16 ]. Although at a very low rate, intestine adhesion and obstruction can occur after either laparoscopic or open surgical reduction of intussusception [ 17 – 19 ]. However, direct comparison of this complication in children with simple surgical induction and those with surgical induction plus ileopexy has not been described.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of recurrent intussusception induced by intestinal lymphoid hyperplasia in a child: is bowel resection always necessary? A case report

Wang

et al. 2022

BMC Surg

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Background Intussusception recurrence (IR) induced by intestinal lymphoid hyperplasia (ILH) in children is rare, and surgical treatment is the final resort if IR is refractory to medications and non-surgical interventions. To date, only a few case reports have described surgical management of ILH-induced IR in children, all involving bowel resection regardless of whether there are bowel necrosis and perforation. Case presentation A 2-year-old boy was transferred to our department due to IR. His main complaint was abdominal pain. Color Doppler ultrasound confirmed ileocecal intussusception while no other abnormalities were found. A final diagnosis of IR with unknown causes was made. Repeated saline enema reductions and dexamethasone failed to cure the IR. Laparotomy was eventually performed after almost 10 episodes of IR. Intraoperatively, distal ileum thickening with palpable masses without bowel necrosis and perforation was noted. ILH was suspected and a biopsy of the affected intestine was performed. Histopathological analysis confirmed ILH. The intussusception was manually reduced, the terminal ileum and the ileocecal junction were fixed to the paralleled ascending colon and the posterior peritoneum respectively, and no bowel resection was performed. The postoperative recovery was uneventful and no IR was observed during over 5 years of follow-up. Conclusions As far as we are aware, this is the first report of successful surgical treatment of ILH-induced pediatric IR without bowel resection in a child. Our experience suggests bowel resection may be unnecessary if bowel necrosis and perforation are absent.

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“…Intussusception is a form of intestinal obstruction in which a segment of the bowel prolapses into a more distal segment. Li CL et al [ 5 ]. reported that the proportion of intussusception secondary to intestinal polyps in children was 12.96%.…”

Section: Discussionmentioning

confidence: 99%

Secondary Colo-Colic Intussusception Caused by Giant Polyp of Sigmoid Colon in a 5-Year-Old Girl

Haizhi,

Xiaobing,

Jianrong

2023

Case Rep Gastroenterol

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Intussusception is common in infants and young children. The most common type is small intestinal intussusception or ileo-colic intussusception. Colonic intussusception is rare. Intestinal polyps, especially large polyps or multiple polyps, can cause intussusception. Here, we report a rare case of colo-colic intussusception caused by a giant juvenile polyp of sigmoid colon, and the patient achieved good clinical effect through polypectomy under colonoscopy. So, when children have colonic intussusception, the possibility of colonic polyps should be considered.

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Laparoscopic approach for managing intussusception in children: Analysis of 65 cases

Cited by 7 publications

References 20 publications

Intususcepción intestinal en el contexto de una apendicitis aguda

Intususcepción intestinal en el contexto de una apendicitis aguda

Surgical treatment of recurrent intussusception induced by intestinal lymphoid hyperplasia in a child: is bowel resection always necessary? A case report

Secondary Colo-Colic Intussusception Caused by Giant Polyp of Sigmoid Colon in a 5-Year-Old Girl

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