Intussusception of the small bowel associated with nephrotic syndrome.
We report the case of a 2-year-old boy who developed a small bowel intussusception during treatment failure of his first episode of nephrotic syndrome. Despite the absence of typical symptoms other than abdominal pain, the intussusception was diagnosed by ultrasonography and computed tomography and successfully reduced by air enema. No pathological lead point was discovered, and no symptoms of Henoch-Schönlein purpura developed later. Intussusception should be considered in the differential diagnosis of abdominal pain in patients with nephrotic syndrome, especially in patients exhibiting prolonged edema. Ultrasonography or computed tomography should be performed, even in the absence of other typical symptoms suggestive of intussusception. We should also bear in mind that the intussusception associated with nephrotic syndrome might occur at regions other than the typical ileocolic region, such as within the small intestine.
Asai
Koichi
K
Department of Pediatrics, Shimane Prefectural Central Hospital, Izumo, Japan. kasai@spch.izumo.shimane.jp
Tanaka
Shin-ichiro
S
Tanaka
Noriko
N
Tsumura
Kumi
K
Kato
Fumihide
F
Kikuchi
Kiyoshi
K
D002675:Child, Preschool; D004733:Enema; D005500:Follow-Up Studies; D006801:Humans; D007420:Intestine, Large / Q000000981:diagnostic imaging*; D007443:Intussusception / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D008297:Male; D009404:Nephrotic Syndrome / Q000150:complications*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography