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Published on: October 29, 2014
Multiple intussusceptions after blunt abdominal trauma in a 9-year-old boy: A case report and literature review
Shin Ae Lee1,2, Joong Kee Youn3, Ye Rim Chang1,2
1Department of Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea.
Insights
Traumatic intussusception is rare, but this case shows multiple instances in a child resolved without surgery. Conservative management may be suitable for stable patients without intestinal damage.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Gastrointestinal Emergencies
Background:
- Traumatic intussusception is an uncommon surgical emergency.
- Existing literature suggests surgical intervention as the primary treatment.
- Optimal management strategies and prognosis for traumatic intussusception remain unclear.
Observation:
- A 9-year-old boy sustained severe trauma from an electric scooter accident.
- Computed tomography revealed multiple instances of intussusception.
- The patient presented with stable vital signs and no signs of intestinal ischemia or perforation.
Findings:
- Conservative management was initiated for the pediatric patient.
- Spontaneous reduction of all intussusceptions was achieved successfully.
- This represents the first reported case of non-surgical resolution of multiple traumatic intussusceptions in a child.
Implications:
- Conservative management may be a viable option for select cases of traumatic intussusception.
- Stable patients without intestinal compromise can potentially avoid surgery.
- Further research is warranted to establish guidelines for conservative treatment of traumatic intussusception.
Abstract:
Traumatic intussusception is exceedingly rare. According to the existing literature, most cases are treated surgically. However, the treatment and prognosis of traumatic intussusception are not well understood, and more research is needed to determine the most beneficial treatment options. Multiple intussusceptions were found on a computed tomography scan of a 9-year-old boy with multiple severe traumatic injuries resulting from a car accident while riding an electric scooter. Conservative management was performed, and spontaneous reduction was successfully achieved without complications. This is the first reported case where multiple traumatic intussusceptions in a pediatric patient were managed without surgical intervention. Thus, traumatic intussusception of varied quantity and quality might be managed conservatively, yielding spontaneous resolution with the prerequisites of stable vital signs and no evidence of intestinal ischemia or perforation.
