Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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A Case of Ileocolic Type Intussusception Associated with Hematemesis

토혈을 동반한 회맹장형 장중첩증 1례

  • Kim, Young Hee (Department of Pediatrics, College of Medicine, SoonChunHyang University) ;
  • Kim, Seung Soo (Department of Pediatrics, College of Medicine, SoonChunHyang University) ;
  • Suh, Eun Sook (Department of Pediatrics, College of Medicine, SoonChunHyang University)
  • 김영희 (순천향대학교 의과대학 소아과학교실) ;
  • 김승수 (순천향대학교 의과대학 소아과학교실) ;
  • 서은숙 (순천향대학교 의과대학 소아과학교실)
  • Received : 2003.02.18
  • Accepted : 2003.06.09
  • Published : 2003.07.15
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Abstract

Intussusception is a common cause of lower intestinal bleeding from five to 11 months of age. Typical symptoms are paroxysmal colicky pain, irritability, vomiting, abdominal mass and currant jelly stool, but hematemesis is rare. Though the most common type of intussusception is ileocecal type, it is rarely accompanied with hematemesis. Up until the present, hematemesis has been observed rarely but only in ileoileal type intussusuption for children and gastrojejunal or jejunojejunal type intussuception for adults who went through gastrectomy. We report a case of the ileocolic type intussusception associated with hematemesis in a 18 months old child.

저자들은 소아에서 토혈과 혈변으로 내원하여 회맹장형 장중첩증으로 진단된 1례를 경험하였기에 보고하는 바이며, 토혈을 동반한 환아의 진단에 있어 장중첩증을 고려해야 할 것으로 사료된다.

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