EXTENSIVE JEJUNAL AND COLONIC INTUSSUSCEPTION IN A CHILD OF 4 MONTHS


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Abstract

Extensive jejunal and colonic intussusception is a rare type of intestinal impaction. The aim of the work is to present a therapeutic-diagnostic algorithm for an atypical clinical picture of a rare form of intussusception of intestines (II) in a child of 4 months. A clinical observation of extensive ileocolic intussusception was carried out in a 4-months-old child admitted to the clinic to exclude craniocerebral trauma 34 hours after falling from a height of 1 m. Results. The main reason for seeking medical help was repeated vomiting and lethargy in a child, occurred one day after the fall. The identification of bloody discharge from the anus was a reason for excluding II. The consecutive use of ultrasound, colonoscopy made it possible to confirm the diagnosis, diagnose irreversible circulatory disorders in the invaginate and determine the indications for laparotomy. The absence of peritonitis allowed performing a resection of the necrotic area of the intestine with the application of intestinal anastomosis after desintussusception. Factors provoking the disease were the introduction of a new nutritional formula in the diet and the “lead point” in the form of a Meckel›s diverticulum Conclusion. The symptom of “blood in the stool”, even in the absence of a typical clinical picture, requires the exclusion of II. The diagnostic arsenal (ultrasound, colonoscopy, laparoscopy) in a specialized hospital with rare forms of II allows short-term diagnosing and choosing a rational surgical tactic. The absence of peritonitis during resection of the necrotic area of the intestine makes it possible to perform the anastomosis.

About the authors

O. V. Karaseva

Research Institute of Emergency Pediatric Surgery and Traumatology

Author for correspondence.
Email: noemail@neicon.ru
Russian Federation

D. E. Golikov

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: denis.ev.golikov@yandex.ru
Russian Federation

A. L. Gorelik

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

A. Yu. Kharitonova

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

M. V. Tumanova

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

K. E. Utkina

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

References

  1. Беляев М.К. Оптимизация лечебного алгоритма при инвагинации кишечника у детей. Детская хирургия. 2012; 6: 8-11
  2. Карасева О.В., Журавлев Н.А., Капустин В.А., Брянцев А.В., Граников О.Д. Первый опыт гидростатической дезинвагинации у детей. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2014; 4: 115-20.
  3. Беляев М.К. Расширение показаний к консервативному лечению инвагинации кишечника у детей. Детская хирургия. 2010; 4: 25-8.
  4. Сафронов Б. Г., Бакланов В.В., Волков И.Е. Оперативное лечение тяжелых форм инвагинации у детей. Детская хирургия. 2011; 3: 12-4.
  5. Наливкин А.Е., Машков А.Е., Друзюк Е.З., Филюшкин Ю.Н. Редкая форма инвагинации аппендикса в слепую кишку в сочетании с илеоцекальной инвагинацией кишечника. Детская хирургия. 2009; 6: 55-6.
  6. Соловьев А.Е., Аникин И.А., Чалов А.А., Пахольчук А.П. Осложненная ретроградная тонко-тонкокишечная инвагинация у ребенка. Детская хирургия. 2014;18 (2): 45-6.
  7. Румянцева Г.Н., Юсуфов А.А., Казаков А.Н., Бревдо Ю.Ф., Иванов А.А. Редкий случай инвагинации кишечника у новорожденного на фоне некротического энтероколита. Детская хирургия. 2015. 19 (3): 55-6.
  8. Казущик В.Л., Протасевич А.И. Редкие формы острой кишечной непроходимости. Методические рекомендации. Минс;. 2008.
  9. Jan Menke, Fritz Kahl. Sonography-guided hydrostatic reduction of ileocolic intussusception in children: Analysis of failure and success in consecutive patients presenting timely to the hospital. Eur J. Pediatr 2014; 30: 123-33.
  10. Aikaterini Ntoulia, Sasha J. Tharakan, Janet R. Reid, Soroosh Mahboubi. Failed intussusception reduction in children: correlation between radiologic, surgical, and pathologic findings. J. AJR. 2016; 207: 1-10.

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