%0 Journal Article
%T Invaginaci車n intestinal recurrente secundaria a ap谷ndice cecal invaginado: Caso cl赤nico Recurrent intussusception secondary to invaginated cecal appendix: Case report
%A Claudia Norambuena
%A Andrea Ruiz C
%A Jaqueline Y芍ˋez V
%J Revista chilena de pediatr赤a
%D 2012
%I Sociedad Chilena de Pediatr赤a
%X Introducci車n: La invaginaci車n intestinal es una patolog赤a de causa idiop芍tica en el 95% de los casos, encontr芍ndose en el 5% restante alg迆n factor desencadenante que la justifique. Las recurrencias se presentan en un 7 a 12% de los casos y se asocian a m迆ltiples causas. El objetivo de este trabajo es presentar el caso de un paciente con invaginaci車n intestinal recurrente y analizar la causa de la recurrencia. Caso cl赤nico: Paciente de 1 a o y 4 meses de edad, sexo masculino, con antecedente de primer episodio de Invaginaci車n intestinal operado a los 4 meses de edad. Presenta segundo episodio de invaginaci車n a los 9 meses de edad, la cual se trat車 con desinvaginaci車n neum芍tica y a los 16 meses de edad present車 su tercer episodio, manejandose con desinvaginaci車n hidrost芍tica. Ocho horas post procedimiento el paciente present車 nueva invaginaci車n; se realiz車 reducci車n manual quir迆rgica. Se encontr車 una invaginaci車n ileoc車lica con un remanente apendicular intracecal actuando como cabeza invaginante. Se reseco remanente y se envi車 a biopsia. Conclusiones: La invaginaci車n intestinal recurrente se asocia a factores anat車micos desencadenantes, por lo cual al presentar recurrencias se debe tener en consideraci車n una posible causa org芍nica, ante lo cual se recomienda el tratamiento quir迆rgico. Introduction: Intussusception is an idiopathic pathology that accounts for 95% of cases found; the remaining 5% is caused by some triggering events. Recurrences occur in 7 to 12% of cases and are associated with multiple causes. The aim of this research is to present the case of a patient with recurrent intussusception and analyze the cause of the recurrence. Case report: The patient was a 16 month-old male infant with a history of first episode of intussusception surgery at 4 months old. His second intussusception episode took place at 9 months of age, which was treated with pneumatic reduction process; at 16 months of age he presented his third episode, which was treated with hydrostatic reduction process. 8 hours post procedure, the patient had a new intussusception condition and surgical manual reduction was performed. Ileocolic intussusception was found with an appendiceal intrathecal remnant acting as the invaginating head. Remnant was removed and sent for biopsy. Conclusions: Recurrent intussusception is associated with triggering anatomical factors; therefore, in the case of recurrences, a possible organic cause should be considered and surgical treatment is recommended.
%K Invaginaci車n recurrente
%K remanente apendicular
%K reducci車n neum芍tica
%K reducci車n hidrost芍tica
%K Recurrent intussusception
%K appendiceal remnant
%K pneumatic reduction
%K hydrostatic reduction
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0370-41062012000600010