A Case of Recurrent Intussusception Caused by Appendiceal Intussusception: Pitfall of Air Reduction

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  • Kimura Jiro
    Department of Pediatric Surgery, Kochi Health Sciences Center
  • Sasaki Kiyoshi
    Department of Pediatric Surgery, Kochi Health Sciences Center
  • Noda Takuo
    Department of Pediatric Surgery, Okayama University

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Other Title
  • 虫垂重積症が原因のため再発を繰り返した腸重積症の1例
  • 症例報告 虫垂重積症が原因のため再発を繰り返した腸重積症の1例 : 空気整復のpitfall
  • ショウレイ ホウコク チュウスイジュウ セキショウ ガ ゲンイン ノ タメ サイハツ オ クリカエシタ チョウジュウ セキショウ ノ 1レイ : クウキ セイフク ノ pitfall
  • ―空気整復のpitfall―

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Abstract

Air reduction was performed for intussusception in a 4-year-old boy. On the following day, however, intussusception recurred twice. On the second recurrence on that day (i.e., recurrence of intussusception for the third time), we attempted laparotomy because structural disorders were suspected. After reducing ileocolic intussusception, we detected appendiceal intussusception. It was considered that appendiceal intussusception caused recurrent ileocolic intussusception in our patient. Appendiceal intussusception could not be reduced by noninvasive reduction because the air leaks out to the ileum owing to pressure. In the case of air reduction, the contrast effect is insufficient; thus, appendiceal intussusception is easily overlooked.

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