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Intussusceptions arising from two different sites in a child with cystic fibrosis

Gaudenz M Hafen1, Andrew C Taylor, Mark R Oliver

  • 1Department of Respiratory Medicine, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia. gaudi.hafen@rch.org.au

Pediatric Pulmonology
|July 15, 2005
PubMed

Insights

Cystic fibrosis (CF) patients can experience abdominal pain due to intussusception. This case highlights two distinct intussusception events in a teen with CF, linked to obstruction syndrome and gastric heterotopia.

Area of Science:

  • Gastroenterology
  • Pediatric Medicine
  • Genetics

Background:

  • Abdominal pain is a frequent symptom in cystic fibrosis (CF) patients.
  • Intussusception, a serious condition, can occur in individuals with CF.
  • Understanding CF-related gastrointestinal complications is crucial for patient management.

Observation:

  • A 17-year-old male with CF presented with two distinct intussusception episodes.
  • The first event was a colonic intussusception, suspected to be caused by distal intestinal obstruction syndrome.
  • The second event was an enteric intussusception, associated with polypoid lesions containing heterotopic gastric mucosa.

Findings:

  • The case illustrates diverse etiologies of intussusception in CF.
  • Heterotopic gastric mucosa in polyps can precipitate intussusception in CF.
  • Distal intestinal obstruction syndrome is a recognized cause of intussusception in CF.

Implications:

  • This case underscores the importance of considering intussusception in CF patients with abdominal pain.
  • Early diagnosis and appropriate management of intussusception are vital in CF care.
  • Further research into CF-associated gastrointestinal pathologies, like heterotopic gastric mucosa, is warranted.

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