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KMID : 0367420050480040453
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Journal of Korean Pediatric Society
2005 Volume.48 No. 4 p.453 ~ p.456
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A Case of Jejunal Juvenile Polyp Presented as Intussusception
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Kwon Ki-Beom
Shin Mee-Yong
Kwon Kye-Won
Park Jae-Ock
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Abstract
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Single or scattered sequential hamartomatous juvenile polyps are common in the large intestine, especially the rectosigmoid area, where they are usually nonfamilial. Juvenile polyps arising in the small inestine are very rare. Juvenile polyps are usually found in children aged between 1 and 10 years, the majority of cases are between 2 and 4 years of age. Bleeding is the most common symptom, but some children may suffer from autoamputation or prolapse through the anus, and rare cases are presented as intussusception. Approximately six cases of juvenile polyps in the small bowel have been reported. Jejunal intussusception arising from juvenile polyp is uncommon in comparison with the ileocolic form. It has an atypical subacute presentation. It must be better understood for its diagnosis can be made too late. Surgical exploration is the treatment of choice because of the recurrence of various clinical symptoms. We report a case of single juvenile polyp of jejunum found in a 10-year-old girl who presented with signs of intussusception.
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KEYWORD
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Juvenile polyp, Intussusception, Small intestine
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