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The role of steroids in children with multiple recurrences of intussusception

Authors


Professor Spencer Beasley, Department of Paediatric Surgery, Christchurch Hospital, Private Bag 4710, Christchurch 8011, New Zealand. Fax: +64 3364 1584; email: spencer.beasley@cdhb.govt.nz

Abstract

Abstract:  We describe the case of a boy who had 9 recurrences of intussusception, for which no pathological lesion at the leadpoint was identified. A contrast follow-through study revealed a follicular/nodular mucosal pattern, particularly prominent in the terminal ileum and caecum. Patients with multiple recurrences usually have an identifiable lesion at the leadpoint, but sometimes recurrences may be due to lymphoid hyperplasia, as presumed in our case. No further recurrences occurred after a two month tapering course of oral prednisolone.

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