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Chronic intussusception associated with Yersinia enterocolitica mesenteric adenitis
J A Hervás1, P Albertí, J I Bregante
1Department of Pediatrics, Son Dureta Children's Hospital, Palma de Mallorca, Spain.
Journal of Pediatric Surgery
|December 1, 1992
Summary
A rare case of chronic intussusception, linked to Yersinia enterocolitica-induced mesenteric lymphadenitis, was successfully treated. Surgical reduction and ileopexy, alongside antibiotics, prevented recurrence of this unusual gastrointestinal condition.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Infectious Diseases
Background:
- Chronic intussusception is a rare condition, often presenting with vague or absent digestive symptoms.
- Mesenteric lymphadenitis, particularly secondary to Yersinia enterocolitica infection, can be an unusual cause of intussusception.
Observation:
- A case of chronic intussusception without overt digestive signs is presented.
- The intussusception was found to be secondary to mesenteric lymphadenitis caused by Yersinia enterocolitica.
Findings:
- Successful operative reduction of the intussusception was achieved using taxis.
- Ileopexy and antibiotic therapy were employed to mitigate the risk of recurrent intussusception.
Implications:
- This case highlights the importance of considering infectious causes like Yersinia enterocolitica in atypical presentations of intussusception.
- The combined surgical and antibiotic approach may be effective in managing and preventing recurrence in such cases.