Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Case of Intussusception with Acute Appendicitis

  • Kee, Hyung Min (Department of Pediatrics, Chung-Ang University College of Medicine) ;
  • Park, Ji Young (Department of Pediatrics, Chung-Ang University College of Medicine) ;
  • Yi, Dae Yong (Department of Pediatrics, Chung-Ang University College of Medicine) ;
  • Lim, In Seok (Department of Pediatrics, Chung-Ang University College of Medicine)
  • Received : 2014.09.24
  • Accepted : 2014.12.13
  • Published : 2015.06.30
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Abstract

In children presenting to hospital with gastrointestinal symptoms, diseases such as intussusception and acute appendicitis require particular attention and careful examination. Early diagnosis and proper treatment are important because of possible severe complications such as peritonitis and death. Intussusception and appendicitis share similar clinical manifestations. More importantly, the presence of acute appendicitis together with intussusception in children is very rare. We describe an interesting case of a 38-month-old boy who presented with abdominal pain in the right lower quadrant. His vital signs were stable and laboratory test findings showed no specific alterations. We detected tenderness in the right lower quadrant. A computed tomography scan showed an ileocolic intussusception with no strangulation and diffuse wall thickening of the appendix trapped within the intussusception. The patient underwent an appendectomy and manual reduction.

Keywords

References

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