Small bowel intussusception after blunt abdominal trauma in a 6-year-old boy: case report and review of 6 cases reported in the literature

Intussusception is a well-known cause of acute abdomen in the pediatric population. Traumatic intussusception is exceedingly rare, with only 22 cases reported in the English language literature. We report a case of jejunojejunal intussusception that happened after blunt trauma to the abdomen in a 10-year-old boy. The patient presented with clinical presentation of small-bowel obstruction. Through this case and brief review of the literature, we try to focus on the etiology of this rare condition, the clinical particularities, and treatment modalities.

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“…Manual surgical reduction is sufficient if the gut is viable; otherwise, resection and anastomosis has to be done as was done in our case [5,6].…”

Section: Discussionmentioning

confidence: 96%

“…Intramural hematoma has been reported in 4 of the 22 reported cases of traumatic intussusceptions [5,6]. In some cases, the mechanism of post-traumatic intussusceptions is unknown.…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic Jejunojejunal Intussusception

et al. 2013

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“…However, traumatic intussusception is quite rare. A recent review of the English literature revealed 23 cases of intussusception caused by abdominal trauma, with only 8 cases in preadolescents [ 2 , 3 ]. Because the typical presentation of sudden onset of intermittent and severe cramping, vomiting, rectal bleeding, and a sausage-shaped abdominal mass are unusual in traumatic intussusceptions, we need to pay greater attention to avoid a delayed diagnosis.…”

Section: Introductionmentioning

confidence: 99%

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

Kwon

et al. 2016

Clin Exp Emerg Med

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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.

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“…Intussusception due to blunt injury is rare and not predominant in the pediatric population. There are only a few adult cases [1]. Here, we present a 40-year-old man who was exposed to blunt abdominal trauma.…”

mentioning

confidence: 96%

“…Although the mechanism of intussusception was not completely identified, the most probable mechanism seems to be local small intestinal spasm, following abnormal peristalsis, intramural hematoma, or edema, which develops after abdominal trauma [1,6]. The increased adrenergic discharge secondary to trauma increases the sympathetic activity in the gastrointestinal canal, leading to constriction of sphincters and segmental intestinal spasm.…”

mentioning

confidence: 99%