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Query: UMLS:C0021933 (
intussusception
)
3,822
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
The site and nature of lesions producing gastrointestinal bleeding was evaluated in pediatric patients admitted to Tokai University Hospital. The differential diagnosis was possible based upon the character of the bleeding and the age of the patient. Upper endoscopy is the diagnostic maneuver of choice in evaluating the upper gastrointestinal bleeders. Sigmoidoscopy, colonoscopy, technetium scans, tagged red cell scans and intraoperative angiography were helpful in locating bleeding sites of lower bleeders. Common causes of bleeding were as follows: Hemorrhagic disease, necrotizing enterocolitis, and midgut volvulus in neonates;
intussusception
and internal hernia in infants; juvenile polyp and infectious
diarrhea
in children; duodenal ulcer and ulcerative colitis in adolescents. Gastro-duodenal ulcers were found in all age groups. One neonate died of indomethacin induced bleeding, however, bleeding from acute ulcer was usually controlled by conservative treatments. Increasing frequency of variceal bleeding due to portal hypertension after successful Kasai procedure for congenital biliary atresia was emphasized.
...
PMID:[Gastrointestinal bleeding in children]. 258 65
A 10-month-old Alsation dog with history of anorexia,
diarrhoea
, dehydration and vomition developed a double
intussusception
which affected the distal jejunum and proximal ileum. Necropsy revealed the
intussusception
to be swollen and congested with fibrinous adhesions between the intussusceptum and intussuscepiens. Two pieces of bone believed to be the inciting cause were found within the intussusceptum. Clostridium welchii and Clostridium bifermentans were isolated from the lesions.
...
PMID:Double intussusception fatally complicated by clostridial infection in a dog (a case report). 273 86
A 14-year-old male was found to have an
intussusception
secondary to an invaginating Meckel's diverticulum. He was initially referred for crampy abdominal pain and
diarrhea
, and inflammatory bowel disease was suspected. The etiology of most intussusceptions is unknown; however, both in adolescence and adulthood they may be initiated by a lead point. This paper presents, analyzes, and discusses an
intussusception
caused by a Meckel's diverticulum as a lead point and the difficulty in making a preoperative diagnosis.
...
PMID:Intussusception secondary to Meckel's diverticulum. A challenging diagnosis in adolescence. 292 Nov 90
Two-hundred and thirty-three patients with 244 intussusceptions were treated in the Department of Paediatric Surgery, Ibn Sina Hospital, Kuwait, with only one death. Our incidence was around 25 per year. The age for idiopathic
intussusception
fits that reported in Western countries. Kuwaitis have a lower incidence of
intussusception
than other nationalities living in Kuwait.
Diarrhea
seems to precede
intussusception
in about 19.1% of cases; leading points were found in 8.2%, and recurrences in 4.5% of cases, most of them following barium reduction. Our complications were high, particularly in the operated group. Barium enema has become our first line of management and it has greatly reduced complications and shortened hospitalization times. Those who present early and late are more prone to operative treatment.
...
PMID:The pattern of intussusception in Kuwait. A review of 244 cases. 306 76
During a 20-month period 55 strains of Aeromonas species were isolated from 53 children with
diarrhea
. The isolation rate of 2.5% for Aeromonas compared with the rates of 4.5% for Shigella, 3.3% for Salmonella, 2.7% for Campylobacter and 0.05% for Yersinia. In 45 children Aeromonas was the sole bacterial enteropathogen identified. Aeromonas was also isolated from 2 (0.5%) of 380 asymptomatic children. Despite its known lack of identifiable virulence properties, Aeromonas caviae was the most prevalent species, accounting for 69% of the isolates. None of the A. caviae strains produced cytotoxin by the 51Cr release assay and 12.5% were weakly enterotoxigenic by the infant mouse assay. All of the Aeromonas sobria and 71% of Aeromonas hydrophila were positive for both toxins. Ninety-two percent of the children with Aeromonas-associated
diarrhea
were younger than 3 years; 84% of the cases were seen between May and October. The majority of the children had an acute onset of watery
diarrhea
. Fever and vomiting were most commonly associated with the isolation of A. sobria. Eight children had chronic or intermittent
diarrhea
lasting for weeks to months before consultation; A. caviae was the isolate in all these cases. Several complications possibly related to Aeromonas intestinal infection were observed. These included Gram-negative bacteremia,
intussusception
, internal hernia strangulation, hemolytic uremic syndrome and failure to thrive in patients with chronic
diarrhea
.
...
PMID:Aeromonas-associated gastroenteritis in children. 334 Apr 60
Generalized juvenile polyposis occurred in five patients (age range, 18 months to 16 years). Clinical findings included abdominal pain, weakness, rectal bleeding,
diarrhea
, rectal prolapse,
intussusception
, clubbing, and failure to thrive. Laboratory findings included anemia, hypoalbuminemia, hypokalemia, and skin test anergy. Diagnosis is achieved by double contrast enema, endoscopy, and biopsy. Unlike patients with solitary juvenile polyps, patients with generalized involvement require surgical intervention. Subtotal colectomy and ileoproctostomy are the procedures of choice, and we performed them in four cases. An ileoanal-endorectal pull-through procedure was required in one patient with continued rectal disease. All five patients are currently alive and well. Long-term follow-up is important as polyps may persist into adult life. Family members are at risk for developing gastrointestinal tract tumors and should be screened.
...
PMID:Generalized juvenile polyposis coli. Clinical management based on long-term observations. 370 30
Three cases of
intussusception
in adults were observed within a period of six months in a small general hospital. All the patients were over 65 years old and all were admitted to hospital with intermittent cramping abdominal pains. None appeared to be in acute distress. In all three, body temperature, pulse rate and hemogram were within normal limits. Diagnosis was made preoperatively after barium enema studies. Bowel resection with end-to-end anastomosis was done in all three cases, in two because of gangrenous bowel. The site of
intussusception
was jejunojejunal in one case, ileocecal in another and colorectal in the third; and the cause in all cases was tumor, benign in two cases, malignant in one. The patients recovered uneventfully except for incisional abscess and
diarrhea
of seven days' duration in one. In a review of literature it was found that the clinical features in these three cases closely paralleled those of other cases of adult
intussusception
reported in this country.
...
PMID:Intussusception in adults. 569 58
Subtype-1 isolates of Equine herpesvirus-1 (EHV-1) from a quadriplegic horse and from an aborted foetus were compared with each other and with a subtype-2 respiratory isolate. All 3 isolates were detected in the epithelium and macrophages of the respiratory tract. Both the paresis and foetal subtype-1 isolates replicated in the epithelium of the ileum and this correlated with the recovery of virus from faeces in vivo. The paresis subtype-1 isolate also had a predelection for vascular endothelial cells, particularly in the nasal mucosa, but also in the lungs, central nervous system, adrenal and thyroid. In the 9 foals inoculated with the paresis isolate two developed hind limb dysfunction, four developed
diarrhoea
, and one of these 4 died with an
intussusception
. The differences between these isolates are discussed in relation to other herpesviruses.
...
PMID:Variation in cellular tropism between isolates of equine herpesvirus-1 in foals. 629 29
Groups of mice were given cyclosporin A (CyA) subcutaneously for 6 wk at a dose of 12.5, 50 or 200 mg/kg/d. After 7, 21 and 42 days of CyA administration the CyA content of serum, thymus, mesenteric lymph nodes, spleen, kidney, liver, lung, small and large intestine and brain was measured, each organ was examined histologically, and the total viable nucleated cell content of thymus, mesenteric lymph nodes, spleen and femoral marrow was analysed. CyA was detected in every organ assayed at each concentration of CyA administered. The mean concentration of CyA per organ was consistently highest in organs of mice given CyA 200 mg/kg/d and lowest in those given 12.5 mg/kg/d at each time point, but there was pronounced variability in the concentration of CyA between individual mice. Repeated administration of CyA after the first week did not further elevate CyA tissue concentrations. At doses of 50 or 200 mg/kg/d CyA caused weight loss,
diarrhea
,
intussusception
and fatal neurotoxicity. In addition, the spleen, thymus and mesenteric lymph nodes of mice given CyA 50 or 200 mg/kg/d were hypocellular and disorganized, and all lymphoid organs contained numerous pyknotic lymphocytes. The liver showed fatty change and the kidney degeneration of proximal tubules. Femoral marrow showed enlarged and congested sinuses. No abnormalities were noted in mice given CyA 12.5 mg/kg/d.
...
PMID:Tissue distribution and toxicity of cyclosporin A in the mouse. 646 74
While endometriosis is a commonly encountered surgical problem, involvement of the gastrointestinal tract is infrequent and appendiceal involvement rate.
Intussusception
of the appendix is more frequent. Accordingly, the concurrence of appendiceal endometriosis and
intussusception
is remarkable. We treated two such patients. The clinical presentation of these patients is varied, with most having abdominal pain, nausea and
diarrhea
. Asymptomatic cases may be found at surgery for unrelated problems. Correct diagnosis preoperatively is uncommon and most likely when the patients also have a palpable mass.
...
PMID:Endometriosis associated with appendiceal intussusception. A report of two cases. 648 17
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