Intussusception And Obstructive Ileus Et Causa Caecal Tumor In Children

Authors

  • Y. Kusumo Adi Arji Atmanto Department of Clinical Pathology, Faculty of Medicine, Hasanuddin University
  • Mutmainnah Department of Clinical Pathology, Faculty of Medicine, Hasanuddin University
  • Ibrahim Abd. Samad Department of Clinical Pathology, Faculty of Medicine, Hasanuddin University

Abstract

Introduction and importance: Intussusception/invagination is a condition where the intestine is folded and infiltrates into other parts of the intestine, which can cause obstructive ileus. One of the causes of intussusception in children is a tumor or colorectal malignancy. Treatment should be started as soon as possible concurrently with fluid resuscitation management. Presentation of cases: A 9-month-old female patient complained of flatulence, inability to defecate, and often color vomiting since 4 days ago. The examination result of 3 three-position abdominal photos is a high obstruction ileus. Exploratory laparotomy, loop modification ileostomy, and to-side anastomosis of the ascending colon and ileum were performed. Histopathological examination of the caecum tissue is non-specific inflammation and lymph nodes with sinus histiocytosis. Discussion: 9 months old is a risk factor for intussusception. The patient's condition is acute. Icteric sclerae or jaundice may occur with gastrointestinal lymphoma tumor types. Histopathological examination shows the process of histiocytosis in the lymph nodes and the activation of adaptive immune cells.   Conclusions: Intussusception is the most common cause of obstructive ileus in children. One of the causes of intussusception in children is a tumor that requires operative management.
  

References

Jain S, Haydel MJ. Child intussusception. StatPearls [Internet]. 2017; Available from: https://www.ncbi.nlm.nih.gov/books/NBK431078/

Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B. Intussusception: clinical presentations and imaging characteristics. Pediatr Emerg Care. 2012;28(9):842–4.

Marsicovetere P, Ivatury SJ, White B, Holubar SD. Intestinal intussusception: etiology, diagnosis, and treatment. Clin Colon Rectal Surg. 2017;30(01):030–9.

Apelt N, Featherstone N, Giuliani S. Laparoscopic treatment of intussusception in children: a systematic review. J Pediatr Surg. 2013;48(8):1789–93.

Tafner E, Tafner P, Mittledorf C, Pinhata J, Silva AL, Pilli S, et al. Potential of colonoscopy as a treatment for intussusception in children. Endosc Int Open. 2017;5(11):E1116–8.

Kolar M, Pilkington M, Winthrop A, Theivendram A, Lajkosz K, Brogly SB. Diagnosis and treatment of childhood intussusception from 1997 to 2016: a population-based study. J Pediatr Surg. 2020;55(8):1562–9.

Kelley-Quon LI, Arthur LG, Williams RF, Goldin AB, Peter SDS, Beres AL, et al. Management of intussusception in children: A systematic review. J Pediatr Surg. 2021;56(3):587–96.

Sreevathsa M. Caecal gastrointestinal stromal tumor with perforation and obstruction. Indian J Surg Oncol. 2012;3(4):311–3.

Jabbo NS. Secondary intussusception due to caecal tumor; A case report and review of the literature. Mustansiriya Med J. 2015;14(2):81.

Lee YW, Yang SI, Kim JM, Kim JY. Clinical features and role of viral isolates from stool samples of intussuception in children. Pediatr Gastroenterol Hepatol Nutr. 2013;16(3):162–70.

Charles T, Penninga L, Reurings J, Berry M. Intussusception in children: a clinical review. Acta Chir Belg. 2015;115(5):327–33.

Tambunan, 1991. Diagnosis dan Tata Laksana Sepuluh Jenis Kanker Terbanyak di Indonesia. Jakarta: EGC. h.185-198

Kwon YN, Yoon SS. Sarcopenia: neurological point of view. J Bone Metab. 2017;24(2):83–9.

Song Y, Huang Z, Kang Y, Lin Z, Lu P, Lin Q, et al. Clinical usefulness and prognostic value of red cell distribution width in colorectal cancer. BioMed Res Int. 2018;2018.

He W, Yin C, Guo G, Jiang C, Wang F, Qiu H, et al. Initial neutrophil lymphocyte ratio is superior to platelet lymphocyte ratio as an adverse prognostic and predictive factor in metastatic colorectal cancer. Med Oncol. 2013;30(1):1–6.

Ying HQ, Deng QW, He BS, Pan YQ, Wang F, Sun HL, et al. The prognostic value of preoperative NLR, d-NLR, PLR and LMR for predicting clinical outcome in surgical colorectal cancer patients. Med Oncol. 2014;31(12):1–8.

Amoruso M, D’Abbicco D, Praino S, Conversano A, Margari A. Idiopathic adult colo-colonic intussusception: case report and review of the literature. Int J Surg Case Rep. 2013;4(4):416–8.

Patsikas MN, Papazoglou LG, Paraskevas GK. Current Views in the Diagnosis and Treatment of Intestinal Intussusception. Top Companion Anim Med. 2019 Dec;37:100360.

Dadlani A, Lal S, Shahani B, Ali M. Ultrasonography for the Diagnosis of Intussusception in Children: An Experience From Pakistan. Cureus [Internet]. 2020 Aug 11 [cited 2022 Apr 4]; Available from: https://www.cureus.com/articles/21924-ultrasonography-for-the-diagnosis-of-intussusception-in-children-an-experience-from-pakistan

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Published

2024-06-08

How to Cite

Y. Kusumo Adi Arji Atmanto, Mutmainnah, & Ibrahim Abd. Samad. (2024). Intussusception And Obstructive Ileus Et Causa Caecal Tumor In Children. Nusantara Medical Science Journal, 38–43. Retrieved from http://journal.unhas.ac.id/index.php/jmednus/article/view/24766

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Section

Case report