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Related Experiment Videos

Hydronephrosis secondary to colonic intussusception.

M H Siegelbaum1, H H Rabinovitch

  • 1Department of Urology, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania.

Urology
|November 1, 1988
PubMed
Summary

Colonic intussusception in infants can cause bowel obstruction and temporary kidney problems. Prompt diagnosis and treatment of intussusception resolved the renal obstruction in this case.

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Area of Science:

  • Pediatric Surgery
  • Pediatric Nephrology
  • Diagnostic Imaging

Background:

  • Bowel obstruction is a critical condition in infants.
  • Colonic intussusception is a common cause of pediatric bowel obstruction.
  • Renal complications secondary to gastrointestinal issues are not well-documented.

Observation:

  • A two-month-old infant presented with bowel obstruction due to colonic intussusception.
  • The infant also exhibited renal insufficiency.
  • Ultrasonography revealed unilateral hydronephrosis.

Findings:

  • Barium enema confirmed and reduced the colonic intussusception.
  • Following resolution of intussusception and adequate hydration, renal function normalized.
  • Follow-up imaging confirmed resolution of hydronephrosis.

Implications:

  • Colonic intussusception should be considered as a potential cause of renal obstruction in infants.
  • Early diagnosis and management of intussusception may prevent long-term renal damage.
  • This case highlights the importance of evaluating renal function in infants with bowel obstruction.

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