Intussusception of the bowel in a child malrotation

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Abstract


Introduction. During treatment of intussusception, the greatest difficulties occur when the disease is combined with other disorders and malformations.

Materials and methods. Clinical observation on treatment in a child with bowel intussusception and malformation is presented. The course of the disease was rather difficult for exact diagnosis. Control of conservative disinvagination was inconclusive. During a surgery, a malrotation was detected. This affected the diagnostic and therapeutic tactics. The second component of obstruction represented by the abdominal adhesive process was also found and removed.

Results. The conducted surgery allowed to confirm the effectiveness of the given conservative treatment, detect the concurrent pathology and remove the mechanical obstruction.

Conclusion. The presented observation clearly demonstrates difficulties in exact diagnosis and control of conservative disinvaginaton when intestinal invagination is combined with congenital malrotation. As a result, the outcome of conservative disinvaginaton could be significantly controlled, commissure or the second component of invagination was removed and an exact diagnosis was made.


About the authors

Vyacheslav G. Svarich

Republican Children’s Clinical Hospital, Syktyvkar; Syktyvkar State University named after P. Sorokin

Author for correspondence.
Email: svarich61@mail.ru

Russian Federation

Head of the surgical department of the Republican children’s clinical hospital of Syktyvkar; Pushkin st., 116/6, Syktyvkar, 167004

Dr. Sci (Med), Professor of the department of surgery of the medical institute of the Syktyvkar state university n. a. Pitirim Sorokin; Oktyabrsky av., 55, Syktyvkar, 167001; phone: 8(8212)229844

Dmitriy A. Lisitsyn

Republican Children’s Clinical Hospital, Syktyvkar

Email: arhliss@mail.ru

Russian Federation

Head of the endoscopic department

Pushkin st., 116/6, Syktyvkar, 167004; phone: 8(8212)229844

Ruslan N. Islentiev

Republican Children’s Clinical Hospital, Syktyvkar

Email: garina.lil@yandex.ru

Russian Federation

Physician surgical department

Pushkin st., 116/6, Syktyvkar, 167004; phone: 8(8212)229844

Evgeniy G. Perevozchikov

Republican Children’s Clinical Hospital, Syktyvkar

Email: doctor-zhenya@yandex.ru

Russian Federation

Physician surgical department

Pushkin st., 116/6, Syktyvkar, 167004; phone: 8(8212)229844

Ilya M. Kagantsov

Republican Children’s Clinical Hospital, Syktyvkar; Syktyvkar State University named after P. Sorokin

Email: ilkagan@rambler.ru

Russian Federation

Head of the uronefrological department of the Republican children’s clinical hospital of Syktyvkar, Pushkin st., 116/6, Syktyvkar, 167004;

doctor of medical sciences, professor of the department of surgery of the medical institute of the Syktyvkar state university n. a. Pitirim Sorokin, Oktyabrsky av., 55, Syktyvkar, 167001; phone: 8(8212)229850

References

  1. Исаков Ю. Ф. Детская хирургия: национальное руководство. Москва: ГЭОТАР-Медиа; 2009. 1168 с.
  2. Гераськин А. В., Дронов А. Ф., Смирнов А. Н. Залхин Д. В., Маннов А. Г., Чундакова М. А., Аль-Машат Н.А., Холстова В. В. Инвагинация кишечника у детей. Медицинский вестник Северного Кавказа. 2009; (1): 25
  3. Huppertz H., Soriano-Gabarroґ M., Grimprel E., Franco E., Mezner Z., Desselberger U., Smit Y., Wolleswinkel-van den Bosch J., De Vos B., Giaquinto C. Intussusception Among Young Children in Europe. The Pediatric Infectious Disease Journal. Jan. 2006; 25 (1): 22-29. doi: 10.1097/01.inf.0000197713.32880.46
  4. Морозов Д. А., Городков С. Ю., Филиппов Ю. В., Староверова Г. А. Инвагинация кишечника: можно ли проводить консервативное лечение независимо от длительности заболевания. Российский вестник детской хирургии анестезиологии и реаниматологии. 2012; 4(1): 18
  5. Shehata S., Kholi N. E., Sultan A., Sahwi E. E. Hydrostatic reduction of intussusception: barium, air, or saline? Pediatr. Surg. Int. 2000; 16: 381. doi.org/10.1007/s003830000388
  6. Renwick A. A., Beasley S. W., Phelan E. Intussusception: recurrence following gas (oxygen) enema reduction. Pediatr. Surg. Int. 1992; 7: 361-3.
  7. Khorana J., Singhavejsakul J., Ukarapol N., Laohapensang M., Wakhanrittee J., Patumanond J. Enema reduction of intussusception: the success rate hydrostatic and pneumatic reduction. Ther. Clin. Risk. Manag. 2015; 11: 1837-1842. doi.org/10.2147/TCRM.S92169
  8. Яницкая М. Ю., Голованов Я. С. Расправление инвагинации кишечника у детей методом гидроэхоколонографии. Детская хирургия. 2013; (1): 28-30.
  9. Bartocci M., Fabrizi G., Valente I. Intussusceptions in childhood: role of sonography on diagnosis and treatment. J. Ultrasond. 2015; 18(3): 205-11 doi: 10.1007/s40477-014-0110-9
  10. Van den Ende E. D., Allema J. H., Hazebroek F. W., Breslau P. J. Success with hydrostatic reduction of intussusception in relation to duration of symptoms. Arch. Dis. Cild. 2005; 10(90): 1071-2. doi: 10.1136/adc.2004.066332
  11. Fraser J. D., Aguayo Р., Но В., Sharp S. V., Ostlie D. J., Holcomb G. W. Laparoscopic management of intussusception in pediatric patients. J. Laparoendosc. Adv. Surg. Tech. A. 2009; 4(19): 563-5. doi: 10.1089/lap.2009.0117
  12. Kia К. F., Mony V. K., Drongovski R. A., Golladay E. S.; Geiger J. D.; Hirschl R. B.; Coran A. J.; Teitelbaum D. H. Laparoscopic vs open surgical approach for intussusception recuiring operative intervention. J. Pediatr. Surg. 2005; 1(40): 281-4. doi: 10.1016/j.jpedsurg.2004.09.026

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