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Colo-colic intussusception in Henoch-Schönlein purpura
C K Choong1, R M Kimble, P Pease
1Department of Paediatric Surgery, Starship Children's Hospital, Auckland, New Zealand.
Abstract:
Intussusception is the commonest surgical complication of Henoch-Sch onlein purpura (HSP), occurring in 1.3%-13.6% of affected children. Colo-colic intussusception is a rare occurrence in HSP, with only three other reported cases. Intussusception in HSP almost always originates in the ileum (90%) or jejunum (7%), and more than one-half of cases (58.4%) are confined to the small bowel. This is in contrast to idiopathic intussusception, where the majority (80%-90%) are ileo-colic and can be diagnosed and reduced by contrast enema.
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