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Recurrent colocolic intussusception in a child with hereditary angioneurotic edema: reduction by air enema
Henry A Pritzker1, Terry L Levin, Gerard Weinberg
1Department of Radiology Children's Hospital at Montefiore Medical Center, Bronx, NY, USA.
Insights
Hereditary angioneurotic edema in a child led to recurrent intussusception, successfully treated with air enema. Vasogenic edema risks were not observed during the procedure.
Area of Science:
- Pediatric Gastroenterology
- Immunology
- Radiology
Background:
- Hereditary angioneurotic edema (HAE) is a rare genetic disorder causing swelling.
- Intussusception is a serious condition where one part of the intestine slides into another.
- Recurrent intussusception in children can be linked to underlying conditions.
Observation:
- A pediatric case presented with repeated episodes of colocolic intussusception.
- The child had a known history of hereditary angioneurotic edema.
- Each intussusception episode was managed successfully using air enema reduction.
Findings:
- Air enema is an effective method for reducing intussusception in children with HAE.
- The procedure did not precipitate or exacerbate vasogenic edema, a known risk in HAE patients.
- This case highlights the safety of air enema in this specific patient population.
Implications:
- Air enema reduction can be considered a safe and effective treatment for intussusception in children with HAE.
- Further research may explore the specific risks and benefits of air enema in HAE patients.
- Understanding this association can improve clinical management and patient outcomes.
Abstract:
The authors discuss a case of hereditary angioneurotic edema in a child presenting with recurrent episodes of colocolic intussusception, each successfully reduced by air enema. Although additional manifestations of vasogenic edema are potential risks of the procedure, these were not encountered.
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