| Intussusception associated with a relapsing nephrotic patient: a case report. | |
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MedLine Citation:
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PMID: 14700154 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Gastrointestinal disturbances are encountered frequently in the course of the nephrotic syndrome but intussusception is a rare association. It may be the result of incoordinate motility and bowel wall edema. OBJECTIVE: To report a case of intussusception associated with relapsing nephrotic syndrome. CASE REPORT: The authors reviewed the case of a 5-year-old boy who had been diagnosed as having nephrotic syndrome at Queen Sirikit National Institute of Child Health for 1 year, who later presented with nephrotic symptoms and an acute abdomen. Abdominal ultrasonography and barium enema were performed which diagnosed ileo-colic intussusception. Resection of the ileum and appendectomy were performed while the relapsing nephrotic syndrome was treated by prednisolone. The patient's recovery was excellent. Percutaneous renal biopsy was done because of the frequent relapsing condition and showed mesangial proliferative glomerulonephritis consistent with IgM nephropathy. Intussusception should be included in the differential diagnosis of relapsing nephrotic syndrome presenting with acute abdominal pain. Abdominal ultrasonography is helpful in confirming this condition. |
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Authors:
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Chookiet Kietkajornkul; Niyada Vithayasai; Warangkana Ratanaprakarn; Veera Buranakitjaroen |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the Medical Association of Thailand = Chotmaihet thangphaet Volume: 86 Suppl 3 ISSN: 0125-2208 ISO Abbreviation: J Med Assoc Thai Publication Date: 2003 Aug |
Date Detail:
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Created Date: 2003-12-31 Completed Date: 2004-02-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7507216 Medline TA: J Med Assoc Thai Country: Thailand |
Other Details:
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Languages: eng Pagination: S596-9 Citation Subset: IM |
Affiliation:
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Nephrology Division, Department of Pediatrics, Queen Sirikit National Institute of Child Health, Bangkok 10400, Thailand. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child, Preschool Humans Intussusception / diagnosis, etiology*, surgery Male Nephrotic Syndrome / complications*, drug therapy Recurrence |
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