A Case of Intussusception Secondary to Parasite Infection Rarely Shown By Ultrasound

Öz

Intussusception is the leading cause of abdominal surgery in the first years of life. Many factors have been identified as part of the disease process; however, in some cases, the cause cannot be determined. Its incidence is increasing, especially within the first two years of life, and can be seen in children more than two years of age and even in adults. For adults and those in late childhood, it should be kept in mind that the underlying lesion could be malignant. Treatment is performed according to the duration of complaints, the length and location of the invaginated segment, and the consideration of other clinical data.

 

 

Anahtar Kelimeler

• intussusception, parasite, ultrasonography

Ultrasonografide Nadir Gösterilebilen Parazite Sekonder İnvajinasyon Vakası

Öz

İnvajinasyon yaşamın ilk yıllarında en fazla abdominal cerrahi gerektiren hastalıkların başında gelir. Meydana gelmesinde birçok faktör tespit edilmiştir. Ancak bazı vakalarda neden saptanamamaktadır. Özellikle ilk iki yaşta sıklığı artış göstermektedir. İnvajinasyon 2 yaş sonrası çocuklarda ve erişkinlerde de izlenebilmektedir. Erişkinlerde ve geç çocukluk dönemlerinde başta malign hastalıklar olmak üzere tetikleyici bir lezyonun olabileceği akılda bulundurulmalıdır. Tedavi şikayetin süresine, invajine segmentin uzunluğuna, yerine ve diğer klinik verilerin birlikte değerlendirilmesine göre yapılır.

 

Anahtar Kelimeler

• invajinasyon; parazit; ultrasonografi

Kaynakça

1. -Elebute EA, Adesola AO. Intussusception in Western Nigeria. Br J Surg 1964; 51:440-4.
2. - Hamby LG, Fowler CL, Pokony WJ. Intussusception. In: Donellan WL, editor. Abdominal surgery of infancy and
3. childhood. 2nd edition. Luxembourg: Harwood academic publishers; 2001. p. 42/1-42/19.
4. -Tangi VT, Bear JW, Reid IS, Wright JE. Intussusception in Newcastle in a 25 year period. Aust N Z J Surg 1991;61:608-13.
5. - Kilic N, Kiristioglu I, Kirkpinar A, Dogruyol H. A very rare cause of intestinal atresia: intrauterine intussusception due to Meckel’s diverticulum. Acta Paediatr 2003;92:756-7.
6. -Wang LT, Wu CC, Yu JC, Hsiao CW, Hsu CC, Jao SW: Clinical entity and treatment strategies for adult
7. intussusceptions: 20 years’ experience. Dis Colon Rectum 2007;50:1941–1949.
8. -Begos DG, Sandor A, Modlin IM: The diagnosis and management of adult intussusception. Am J Surg 1997;17:88–94

9. - Zorludemir Ü, Yücesan S ve Olcay I. İnvajinasyon: 168 hastanın klinik değerlendirmesi. Pediatrik Cerrahi Dergisi 1987;2:81-9.
10. -Kombo LA, Gerber MA, Pickering LK, Atreya CD, Breiman RF. Intussusception, infection, and immunization: summary of a workshop on rotavirus. Pediatrics. 2001;108:e37.
11. - World Health Organization, Initiative for Vaccine Research Department of vaccines and Biologicals. Acute intussusception in infants and children. Incidence, clinical presentation and management: a global perspective. WHO/V&B/02.19. 2002.
12. - Yakan S, Caliskan C, Makay O, Denecli AG, Korkut MA: Intussusception in adults: clinical characteristics,
13. diagnosis and operative strategies. World J Gastroenterol 2009;15:1985–1989.
14. - Wang N, Cui XY, Liu Y, Long J, Xu YH, Guo RX, Guo KJ: Adult intussusception: a retrospective review of 41
15. cases. World J Gastroenterol 2009;14:3303–3308
16. -Byrne AT, Geoghegan T, Govender P, Lyburn ID, Colhoun E, Torreggiani WC. The imaging of intussusception. Clin Radiol 2005;60:39-46.
17. - Tiao MM, Wan YL, Ng SH, Ko SF, Lee TY, Chen MC, et al. Sonographic features of small-bowel intussusception in pediatric patients. Acad Emerg Med 2001;8:368-73.
18. - Bonadio WA. Intussusception reduced by barium enema Outcome and short-term follow-up. Clin Pediatr (Phila) 1988; 27: 601-604.
19. - Lui KW, Wong HF, Cheung YC, See LC, Ng KK, Kong MS, Wan YL. Air enema for diagnosis and reduction os intussusception in children: clinical experience and fluoroscopy time correlation. J Pediatr Surg 2001; 36: 479-481.
20. - Yoon C, Kim H, Goo H, İntussusceptionin children US-Guided pneumatic reduction-initial experience. Radiology 2001; 218: 85-88.
21. - Balakumar K. Ultrasound diagnosis of intestinal ascariasis. Indian J Radiol Imaging 2005;15:107-8