Intussusception Associated with a Relapsing Nephrotic Patient : A Case Report
CHOOKIET KIETKAJORNKUL, MD*, NIY ADA VITHA Y ASAI, MD**, WARANGKANA RATANAPRAKARN, MD***, VEERA BURANAKITJAROEN,MD****
Affiliation : *Nephrology Division, **Gastroenterology and Nutrition Division, Department of Pediatrics, *** Department of Radiology, ****Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok 10400, Thailand.
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 appen dectomy 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 synd10me pre senting with acute abdominal pain. Abdominal ultrasonography is helpful in confirming this condi tion.
Keywords : lgM Nephropathy, Mesangial Proliferative Glomerulonephritis, Nephrotic Syndrome, Intussusception
