INTUSSUSCEPTION - A RARE ETIOLOGY
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v25.i4.10803Keywords:
chronic diarrhea, cystic fibrosis, intussusception, failure to thriveAbstract
Introduction:The intussusception is the most common cause of intestinal obstruction between three months and six years old. Although mostly idiopathic, in 2 to 8% of cases an underlying pathology can be identified.
Clinical case:Male adolescent, 12 years old with no significant family history, forwarded to medical study after intussusception. He had failure to thrive and chronic diarrhea. The investigation ruled out celiac disease, inflammatory bowel disease and intestinal parasites. The sweat test was positive and in cystic fibrosis consultation the sweat test was repeated and a genetic study was performed that confirmed the diagnosis.
Discussion / Conclusions: The clinical case described is intended to alert to the importance of investigating an underlying disease in some children and adolescents with intussusception. In this case the study led to the diagnosis of cystic fibrosis
Downloads
References
Preece J, Shanker K, Clewner LM, et al. Index of Suspicion. Pediatrics in Review 2013; 34: 408-16.
Fiorentino JA, Oneto A, Dip M. Invaginación intestinal en pediatría. Rev. de Cir. Infantil 1997; 7: 147-51.
Kennedy M, Liacouras CA. Intussusception. In: Kliegman R, et al. Nelson Textbook of Pediatrics. 19th ed. Elsevier Saunders; 2011. p. 1287-9.
Ross A, LeLeiko NS. Acute Abdominal Pain. Pediatrics in Review 2010; 31: 135-44.
Pandey A, Singh S, Wakhlu A, Rawat J. Delayed presentation of intussusceptions in children – a surgical audit. Annals of Pediatric Surgery 2011; 7: 130-2.
Tavares M, Matos IV, Bandeira A, Guedes M. Abordagem da má evolução ponderal. Nascer e Crescer 2013; 22: 162-6
Zella GC, Israel EJ. Chronic Diarrhea in Children. Pediatrics in Review 2012; 33: 207-18.
Glick SR, Carvalho RS. Inflammatory Bowel Disease. Pediatrics in Review 2011; 32: 14-25.
Ediger TR, Hill ID. Celiac Disease. Pediatrics in Review 2014; 35: 409-16.
Fernandes S, Beorlegui M, Brito MJ, Rocha G. Protocolo de parasitoses intestinais. Acta Pediatr Port 2012; 43: 35-41.
Paranjape SM, Mogayzel PJ. Cystic Fibrosis. Pediatrics in Review 2014; 35: 194-205.
Holmes M, Murphy V, Taylor M, Denham B. Intussusception in cystic fibrosis. Arch Dis Child 1991; 66: 726-7.
Damas C, Amorim A, Gomes I. Fibrose quística: Revisão. Rev Port Pneumol 2008; 14: 89-112.
Downloads
Published
How to Cite
Issue
Section
License
Copyright and Authors' Rights
All articles published in Nascer e Crescer - Birth and Growth Medical Journal are Open Access and comply with the requirements of funding agencies or academic institutions. For use by third parties, Nascer e Crescer - Birth and Growth Medical Journal adheres to the terms of the Creative Commons License "Attribution - Non-Commercial Use (CC-BY-NC)".
It is the author's responsibility to obtain permission to reproduce figures, tables, etc. from other publications.
Authors must submit a Conflict of Interest statement and an Authorship Form with the submission of the article. An e-mail will be sent to the corresponding author confirming receipt of the manuscript.
Authors are permitted to make their articles available in repositories at their home institutions, provided that they always indicate where the articles were published and adhere to the terms of the Creative Commons license.