The role of steroids in children with multiple recurrences of intussusception.
We describe the case of a boy who had 9 recurrences of intussusception, for which no pathological lesion at the leadpoint was identified. A contrast follow-through study revealed a follicular/nodular mucosal pattern, particularly prominent in the terminal ileum and caecum. Patients with multiple recurrences usually have an identifiable lesion at the leadpoint, but sometimes recurrences may be due to lymphoid hyperplasia, as presumed in our case. No further recurrences occurred after a two month tapering course of oral prednisolone.
Department of Paediatric Surgery, Christchurch Hospital, Christchurch, New Zealand.
Robert
R
Lopez
Spencer W
SW
Beasley
Russell
R
Blakelock
Kiki
K
Maoate
Craig A
CA
McBride
Charlotte
C
Slade
Andrew S
AS
Day
Sebastian K
SK
King
D000361:Agammaglobulinemia / Q000150:complications; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000188:drug therapy*; D007223:Infant; D007443:Intussusception / Q000188:drug therapy* / Q000209:etiology; D010535:Laparoscopy; D008206:Lymphatic Diseases / Q000150:complications*; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use*; D012008:Recurrence
D005938:Glucocorticoids; D011239:Prednisolone