open access

Vol 9, No 4 (2007)
Aktualności
Published online: 2008-02-12
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Chronic intussusception in 16-year-old boy caused by enterogenic cyst of caecum

Ireneusz Kohut, Bartosz Broen, Krzysztof Mandat, Jerzy Niedzielski
Chirurgia Polska 2007;9(4):237-243.

open access

Vol 9, No 4 (2007)
Aktualności
Published online: 2008-02-12

Abstract

Chronic intussusceptions are usually observed in older children. They create a clinical problem due to the occurrance in the course of disease, non-characteristic abdominal pain associated with vomiting and sometimes diarrhea without macroscopic blood in the stool. They are caused in the majority of cases by the presence of a lead point and require surgical treatment. Visualization of the lead point by imaging techniques is difficult and laboratory examinations are usually normal. The authors present a case of chronic ileocecal intussusception in which lead point was an enterogenic cyst of the caecum. A changing clinical manifestation and diagnostic difficulties caused a delay in the decision to operate for 23 days. The definitive diagnosis was determined only intraoperatively, during a reconnaissance laparotomy. Luckily for the patient this delay did not cause complications (necrosis and perforation of the wall of the intestine) and did not influence the final result of the treatment.

Abstract

Chronic intussusceptions are usually observed in older children. They create a clinical problem due to the occurrance in the course of disease, non-characteristic abdominal pain associated with vomiting and sometimes diarrhea without macroscopic blood in the stool. They are caused in the majority of cases by the presence of a lead point and require surgical treatment. Visualization of the lead point by imaging techniques is difficult and laboratory examinations are usually normal. The authors present a case of chronic ileocecal intussusception in which lead point was an enterogenic cyst of the caecum. A changing clinical manifestation and diagnostic difficulties caused a delay in the decision to operate for 23 days. The definitive diagnosis was determined only intraoperatively, during a reconnaissance laparotomy. Luckily for the patient this delay did not cause complications (necrosis and perforation of the wall of the intestine) and did not influence the final result of the treatment.
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Keywords

chronic intussusception; children; lead point; enterogenic cyst

About this article
Title

Chronic intussusception in 16-year-old boy caused by enterogenic cyst of caecum

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 9, No 4 (2007)

Pages

237-243

Published online

2008-02-12

Bibliographic record

Chirurgia Polska 2007;9(4):237-243.

Keywords

chronic intussusception
children
lead point
enterogenic cyst

Authors

Ireneusz Kohut
Bartosz Broen
Krzysztof Mandat
Jerzy Niedzielski

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