title: Colocolonic intussusception in a four-yr-old with a heart transplant: a case report and review of the literature.
abstract: A rare case of a colocolonic intussusception in a pediatric cardiac transplant patient is reported along with a review of colocolonic intussusception in pediatric patients after organ transplantation. A four-yr-old girl with a history of heart transplantation shortly after birth presented with a 12-hour history of abdominal pain, vomiting, and bloody stools. Initial abdominal x-ray showed rectal edema. A rectal examination revealed a palpable intussusceptum that prompted a therapeutic contrast enema, which failed to reduce the intussusception. Surgical exploration was performed with reduction of the intussusception and resection of the terminal ileum and cecum. A pathologic lead point was not identified.
authors: Department of Surgery, University of Washington, Seattle, WA, USA. sanchez8@u.washington.edu
authors: Sabrina
authors: S
authors: Sanchez
authors: Patrick
authors: P
authors: Javid
authors: Robert
authors: R
authors: Ricca
authors: Jeffrey
authors: J
authors: Avansino
mesh_terms: D000388:Air; D000714:Anastomosis, Surgical / Q000379:methods; D002675:Child, Preschool; D003108:Colonic Diseases / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D003287:Contrast Media / Q000494:pharmacology; D004487:Edema / Q000473:pathology*; D004733:Enema / Q000379:methods; D005260:Female; D006333:Heart Failure / Q000150:complications* / Q000628:therapy*; D016027:Heart Transplantation / Q000379:methods*; D006801:Humans; D007443:Intussusception / Q000150:complications* / Q000175:diagnosis*; D009336:Necrosis; D011860:Radiography, Abdominal / Q000379:methods; D012007:Rectum / Q000473:pathology; D013256:Steroids / Q000009:adverse effects / Q000627:therapeutic use
chemical_list: D003287:Contrast Media; D013256:Steroids