Rare Concurrent Ileoileal and Ileocolic Intussusceptions in a Child Presenting With Painless Hematochezia

Double-site intussusceptions are very rare in children, and only a few have been reported. Here, we report a 17-month-old boy with double intussusceptions, whose clinical manifestations were painless hematochezia and anemia. Ultrasonography demonstrated an edematous, dilated bowel and two target les...

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Main Authors: Jr-Rung Shiu, Hsun-Chin Chao, Cheng-Chan Chen, Chao-Yun Chi
Format: Article
Language:English
Published: Elsevier 2010-12-01
Series:Pediatrics and Neonatology
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Online Access:http://www.sciencedirect.com/science/article/pii/S1875957210600708
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author Jr-Rung Shiu
Hsun-Chin Chao
Cheng-Chan Chen
Chao-Yun Chi
author_facet Jr-Rung Shiu
Hsun-Chin Chao
Cheng-Chan Chen
Chao-Yun Chi
author_sort Jr-Rung Shiu
collection DOAJ
description Double-site intussusceptions are very rare in children, and only a few have been reported. Here, we report a 17-month-old boy with double intussusceptions, whose clinical manifestations were painless hematochezia and anemia. Ultrasonography demonstrated an edematous, dilated bowel and two target lesions, suggesting multiple sites of intussusception. At surgery, intussusceptions were found in the ileoileal and ileocolic segments of the intestine. The cecum and proximal ascending colon were resected because of a gangrenous ileocolic intussusception. The ileoileal intussusception was reduced manually. Postoperatively, the patient was stable with no subsequent intestinal obstruction or hemorrhage.
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series Pediatrics and Neonatology
spelling doaj-art-55b9473ecaec472f9ab5087c2b970afd2025-08-20T03:09:54ZengElsevierPediatrics and Neonatology1875-95722010-12-0151635936210.1016/S1875-9572(10)60070-8Rare Concurrent Ileoileal and Ileocolic Intussusceptions in a Child Presenting With Painless HematocheziaJr-Rung Shiu0Hsun-Chin Chao1Cheng-Chan Chen2Chao-Yun Chi3Division of Gastroenterology, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, TaiwanDivision of Gastroenterology, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, TaiwanDepartment of Pediatric Surgery, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, TaiwanDepartment of Pediatric Surgery, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, TaiwanDouble-site intussusceptions are very rare in children, and only a few have been reported. Here, we report a 17-month-old boy with double intussusceptions, whose clinical manifestations were painless hematochezia and anemia. Ultrasonography demonstrated an edematous, dilated bowel and two target lesions, suggesting multiple sites of intussusception. At surgery, intussusceptions were found in the ileoileal and ileocolic segments of the intestine. The cecum and proximal ascending colon were resected because of a gangrenous ileocolic intussusception. The ileoileal intussusception was reduced manually. Postoperatively, the patient was stable with no subsequent intestinal obstruction or hemorrhage.http://www.sciencedirect.com/science/article/pii/S1875957210600708childdouble-site intussusceptionpainless hematochezia
spellingShingle Jr-Rung Shiu
Hsun-Chin Chao
Cheng-Chan Chen
Chao-Yun Chi
Rare Concurrent Ileoileal and Ileocolic Intussusceptions in a Child Presenting With Painless Hematochezia
Pediatrics and Neonatology
child
double-site intussusception
painless hematochezia
title Rare Concurrent Ileoileal and Ileocolic Intussusceptions in a Child Presenting With Painless Hematochezia
title_full Rare Concurrent Ileoileal and Ileocolic Intussusceptions in a Child Presenting With Painless Hematochezia
title_fullStr Rare Concurrent Ileoileal and Ileocolic Intussusceptions in a Child Presenting With Painless Hematochezia
title_full_unstemmed Rare Concurrent Ileoileal and Ileocolic Intussusceptions in a Child Presenting With Painless Hematochezia
title_short Rare Concurrent Ileoileal and Ileocolic Intussusceptions in a Child Presenting With Painless Hematochezia
title_sort rare concurrent ileoileal and ileocolic intussusceptions in a child presenting with painless hematochezia
topic child
double-site intussusception
painless hematochezia
url http://www.sciencedirect.com/science/article/pii/S1875957210600708
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AT chengchanchen rareconcurrentileoilealandileocolicintussusceptionsinachildpresentingwithpainlesshematochezia
AT chaoyunchi rareconcurrentileoilealandileocolicintussusceptionsinachildpresentingwithpainlesshematochezia