A Case of Conservative Treatment for Intussusception of the Small Intestine Caused by A Long Tube Associated with Schönlein-Henoch Purpura

Nagato Sato¹⁾²⁾, Hitoshi Inomata¹⁾²⁾, Junichi Hatakeyama¹⁾ and Hiroyuki Katoh²⁾

Department of Surgery, Yakumo General Hospital¹⁾
Surgical Oncology, Division of Cancer Medicine, Hokkaido University Graduate School of Medicine²⁾

The symptoms of a 55-year-old man admitted elsewhere for nausea and abdominal pain, diagnosed as ileus, did not improve despite insertion of a long tube. Upon transfer to our hospital, he reported severe nausea, and abdominal X-ray examination showed stomach dilation and tube tension. Ultrasonography and CT showed the small intestine telescoping over the tube and parts suspected of intussusception. Conservative therapy by tube withdrawal reduced symptoms and CT showed no abnormalities after withdrawal. Use of a long tube in conservative therapy for ileus may cause intussusception, such attempts in conservative therapy should not aggravate the underlying illness.

Key words
intussusception, ileus, long tube

Reprint requests
Nagato Sato Department of Surgery, Urakawa Redcross Hospital
1-2-1 Higashimachi-chinomi, Urakawa-cho, Urakawa-gun, 057-0007 JAPAN

Accepted
December 17, 2004

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