A rare clinical case of retrograde small-bowel intussusception in pediatric practice

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Abstract

Intestinal intussusception in children is a mixed variant (with elements of obstruction and strangulation at the same time) of intestinal obstruction caused by isoperistaltic insertion of the proximal intestine into the distal. The article describes a rare clinical case of retrograde small bowel intussusception in a teenage girl aged 17 years with severe neurological pathology. Anamnesis, clinical symptoms and results of paraclinical methods of research, methods and results of the conducted treatment are given. The aim of the article is to familiarize doctors of practical health care with an extremely rare variant of intestinal intussusception. Retrograde (antiperistaltic) small bowel intussusception in children is very rare. Given the neurological status of the patient, the probable cause of intussusception was spastic neurogenic small intestinal dyskinesia. The direct cause of the disease was feeding mistakes in the form of feeding large amounts of strained food through the gastrostomy.

About the authors

A P L’vov

Children’s Republican Clinical Hospital

Author for correspondence.
Email: liluqwerty4@gmail.com
Kazan, Russia

R Ya Yafasov

Children’s Republican Clinical Hospital

Email: liluqwerty4@gmail.com
Kazan, Russia

V I Morozov

Kazan State Medical University

Email: liluqwerty4@gmail.com
Kazan, Russia

L I Batyrshina

Kazan State Medical University

Email: liluqwerty4@gmail.com
Kazan, Russia

References

  1. Federal’nye klinicheskie rekomendatsii «Invaginatsiya kishechnika u detey». (Federal clinical recommendations «Invagination of the intestine in children».) Moscow. 2014. http://www.radh.ru/invaginat_guidelines.pdf (access date: 25.02.2018). (In Russ.)
  2. Bairov G.A. Srochnaya khirurgiya detey. (Emergency surgery of children.) Saint Petersburg: Prakticheskaya meditsina. 1997; 161–188. (In Russ.)
  3. Ashcraft K.U., Holder T.M. Detskaya khirurgiya. (Pediatric surgery.) In 3 vol. Saint Petersburg: Pit-Tal. 1997; 93–97. (In Russ.)
  4. Isakov Yu.F. Khirurgicheskie bolezni detskogo vozrasta. (Surgical diseases of childhood.) Moscow: GEOTAR-MED. 2004; 1: 341–348. (In Russ.)

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© 2018 L’vov A.P., Yafasov R.Y., Morozov V.I., Batyrshina L.I.

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