Abstract
This paper describes a 6-year-old boy with recurrent ileocecal intussusception due to lymphoid hyperplasia in the terminal ileum, which was diagnosed preoperatively by colonoscopy. At the age of 3 years, he developed diarrhea and a tender abdominal mass. He was diagnosed as having intussusception by ultrasound and was treated by hydrostatic barium enema. After resolution, he had three recurrent episodes of intussusception. A contrast barium enema revealed a small mass in the ileocecal region. Colonoscopy showed several exaggerated folds of the terminal ileum and a biopsy showed lymphoid hyperplasia. Because the repeated intussusception seemed to have been caused by the lymphoid hyperplasia in the terminal ileum, he underwent an ileocecal resection without any subsequent recurrence. Based on the above findings, we conclude that a colonoscopy may thus be useful both for diagnosing lymphoid hyperplasia in the terminal ileum as a cause of recurrent intussusception and for deciding how to manage it.
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Tangi VT, Bear JW, Reid IS, Wright JE (1991) Intussusception in Newcastle in a 25-year period. Aust N Z J Surg 61:608–613
Buck JL, Harned RK, Lichtenstein JE, Sobin LH (1992) Peutz-Jeghers syndrome. Radiographics 12:365–378
McIntosh JC, Mroczek EC, Baldwin C, Mestre J (1990) Intussusception of the appendix in a patient with cystic fibrosis. J Pediatr Gastroenterol Nutr 11:542–544
Jennings BS, Doerr RJ (1989) Duodenal lipoma causing intussusception. Surgery 105:560–563
Nishina T, Tsuchida Y, Saito S, Aoyama Y (1981) Intussusception in infancy and hyperplastic Peyer’s patches. Jpn J Pediatr Surg 13:597–604
Pang LC (1989) Intussusception revisited: Clinicopathologic analysis of 261 cases, with emphasis on pathogenesis. South Med J 82:215–228
Hakami M, Emamy H, Mehzad M, Azimi J (1976) Intussusception due to lymphoid hyperplasia of the intestine. Am J Proctol 27:27–29
Jona JZ, Belin RP, Burke JA (1976) Lymphoid hyperplasia of the bowel and its surgical significance in children. J Pediatr Surg 11:997–1006
Johnson RC, Bleshman MH, DeFord JW (1978) Benign lymphoid hyperplasia manifesting as a cecal mass: report of a case. Dis Colon Rectum 21:510–513
Montgomery EA, Popek EJ (1994) Intussusception, adenovirus, and children: a brief reaffirmation. Hum Pathol 25:169–174
Atwell JD, Burge D, Wright D (1985) Nodular lymphoid hyperplasia of the intestinal tract in infancy and childhood. J Pediatr Surg 20:25–29
Nicolas JC, Ingrand D, Fortier B, Bricout F (1982) A one year virological survey of acute intussusception in childhood. J Med Virol 9:267–271
Gardner PS (1961) Adenovirus and intussusception. Br Med J 2:495–496
Konno T, Suzuki H, Kutsuzawa T, Imai A, Katsushima N, Sakamoto M, Kitaoka S, Tsuboi R, Adachi M (1978) Human rotavirus infection in infants and young children with intussusception. J Med Virol 2:265–269
Meyerson S, Desai Tk, Polidori G, Raval MFT, Ehrinpreis MN (1993) A case of intussusception and lymphoid hyperplasia in a patient with AIDS. Am J Gastroenterol 88:303–306
Swartley RN, Stayman JW (1962) Lymphoid hyperplasia of the intestinal tract requiring surgical intervention. Ann Surg 155:238–240
Selke AC, Jona JZ, Belin RP (1976) Massive enlargement of the ileocecal valve due to lymphoid hyperplasia. Am J Roentgenol 127:518–520
Schenken JR, Kruger RL, Schultz L (1975) Papillary lymphoid hyperplasia of the terminal ileum: an unusual cause of intussusception and gastrointestinal bleeding in childhood. J Pediatr Surg 10:259–265
Shaw EB Jr, Henningar GR (1974) Intestinal lymphoid polyposis. Am J Clin Pathol 61:417–422
Sekler EE, Paez CC, Toledano A, Congedo E, Guelrud M, Roa E (1979) Bleeding lymphoid hyperplasia of the small bowel in an adolescent diagnosed by intraoperative endoscopy. Gastrointest Endosc 25:21–22
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Hasegawa, T., Ueda, S., Tazuke, Y. et al. Colonoscopic diagnosis of lymphoid hyperplasia causing recurrent intussusception: Report of a case. Surg Today 28, 301–304 (1998). https://doi.org/10.1007/s005950050126
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DOI: https://doi.org/10.1007/s005950050126