Ileocolic intussusception is the invagination of ileum into the colon. In a subset of patients, the disease is caused by mesenteric lymphadenopathy in response to (viral) infection. We present a case of an ileocolic intussusception necessitating surgery in a 7-month-old immunocompetent infant with concurrent primary wild-type varicella-zoster virus (VZV) infection, in whom chickenpox rash developed 2 days after surgery. Detailed in situ analyses of resected intestine for specific cell type markers and VZV RNA demonstrated VZV-infected lymphocytes and neurons in the gut wall and in ganglion cells of the myenteric plexus.
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http://dx.doi.org/10.1093/infdis/jiaa148 | DOI Listing |
Cureus
December 2024
Department of General Surgery, Uttar Pradesh University of Medical Sciences, Saifai, IND.
Enteroenteric fistula in the pediatric age group is an unusual presentation. It can create a diagnostic dilemma for the physician, particularly in the absence of any previous surgery, prolonged abdominal symptoms, or inflammatory bowel disease. The patient is a 10-year-old girl who presented with mild-grade fever, abdominal distension, scanty stool passage, and foul-smelling vomiting for the past 10 days.
View Article and Find Full Text PDFIntussusception, a condition in which one part of the intestine telescopes into another, primarily affects children under 18 months of age. This case report details the radiologic findings in a six-year-old child with a long-standing history of recurrent ileocolic intussusception, who presented with abdominal pain and was diagnosed with intussusception-associated appendicitis. Following the fifth recurrence, the patient underwent laparoscopic reduction of the intussusception and appendectomy.
View Article and Find Full Text PDFFront Pediatr
December 2024
Department of Gastrointestinal Surgery, The First People's Hospital of Wuhu, Anhui, China.
In children, 90% cases of intussusception are idiopathic and the remaining 10% are attributed to underlying diseases (most commonly due to Meckel's diverticulum, polyps then either duplication cyst or mesentery cysts, and rarely due to Burkitt's lymphoma). The occurrence of acute intestinal intussusception caused by Burkitt's lymphoma in children under the age of 5 is exceedingly rare. Burkitt's lymphoma presents with diverse clinical manifestations, often leading to the identification of an abdominal tumor in pediatric patients.
View Article and Find Full Text PDFTurk J Surg
June 2024
Department of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Int J Surg Case Rep
January 2025
Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia.
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