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Colocolic Intussusception without Lead Point; A Case Report and Literature Review

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Author(s): Rahim Mahmudloo | Shahsanam Gheibi | Sona Nuri Vahed

Journal: Iranian Journal of Pediatrics
ISSN 2008-2142

Volume: 18;
Issue: 4;
Start page: 373;
Date: 2008;
Original page

Keywords: Intussusception | Children | Colocolic intussusception | Abdominal distention

ABSTRACT
Background: Colocolic intussusception is rare in children and most cases in adolescents are produced by a lead-point. A review of the English-written literature revealed only three cases of colocolic intussusception without lead point. Case presentation: A seven year-old boy with chief complaint of colicky abdominal pain and vomiting for five days, dysentery for 4 days, and no response to antibiotic therapy, increasing pain and abdominal distension was referred to pediatric gastroenterologist. Abdominal x-ray revealed multiple air-fluid levels and gasless colon. Pseudo-kidney appearance was reported in abdominal ultrasound at splenic flexure. Colocolic intussusception diagnosis without any lead point was confirmed in laparotomy and reduced with milk-out procedure. Conclusion: In children with dysentery especially in presence of colicky abdominal pain, abdominal distention and no response to antibiotic therapy, abdominal ultrasound to rule out intussusception is recommended.
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