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.

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