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Ileocolic Intussusception Prolapsing from the Rectum in von Recklinghausen's Disease

Surgical Science 2012年第8期3卷 421-423页

作者： Marlén Alvite Canosa Leticia Alonso Fernández Lucía Dorado Castro Rocío González López Ana álvarez Gutiérrez Inmaculada Monjero Ares José Conde Vales Félix Arija Val General surgery department of Hospital Universitario Lucus Augusti Lugo Spain

Intussusception is a paediatric condition that rarely presents in adults. We report an exceptional case of ileocolic intussusception prolapsing from the rectum in an adult with Von Recklinghausen′s disease. A 31-year-old man with von Recklinghausen′s disease presented to emergency department with a history of severe abdominal pain, vomits and rectal bleeding. Abdominal computed tomography showed intestinal obstruction probably due to a sigmoidorectal intussusception. Ileum, appendix, cecum and ascending colon were found to be intussuscepting through transverse, descending and sigmoid colon and prolapsing from the rectum during an emergent laparotomy. A right hemicolectomy was performed. An anatomical pathology examination revealed a neurofibroma of the appendix as lead point for intussusception. Intussusception in adults requires early surgical resection regardless of the nature of the initial case. Neurofibroma of the appendix is very rare;although it is benign, prompt resection is recommended because of a high risk of appendicitis and malignant transformation.

关键词： Adult intussusceptions Neurofibromatosis Von Recklinghausen′s Disease Appendiceal Neurofibroma

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Factors determining operative reduction in intussusception in children aged less than fourteen years

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Open Journal of Pediatrics 2013年第3期3卷 286-289页

作者： Tariq O. Abbas Noora AlShahwani Gaby Jabbour Mansour Ali Department of Pediatric Surgery Hamad General Hospital Doha Qatar

Aim: To delineate the factors associated with operative reduction of intussusception, in contrast to enema reduction only without surgical intervention, in children aged less than 14 years. Methods: We retrospectively reviewed the records of all children aged <14 years who experienced intussusception between 2002 and 2012 and were treated at a single hospital in Qatar. Clinical outcomes were correlated with age, sex, clinical symptoms, diagnosticand treatmentrelated characteristics, and length of hospital stay. Results: A total of 141 children were diagnosed and treated for intussusception over 11 years. The male to female ratio of intussusception was 1.4:1. The length of hospital stay was longer in patients who underwent operative reduction than those that did not. Conclusion: Delay in presentation did not decrease the success of radiologic reduction and did not increase the risk of operative intervention and bowel resection.

关键词： Operative Reduction intussusceptions Children

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