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KMID : 0387820220290010017
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Clinical Pediatric Hematology-Oncology
2022 Volume.29 No. 1 p.17 ~ p.20
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Colo-Colic Intussusception as the Presenting Feature of Neutropenic Typhlitis during Induction Phase of Acute Lymphoblastic Leukemia in an 8-Year-Old Child
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Pal Somdipa
Krishnan Yamini
Sainulabdin Gazel
Parameswaran Krishnan V.
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Abstract
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Acute lymphoblastic leukemia (ALL) is the most common malignancy of children. Gastrointestinal complications can occur during treatment of these children due to disease infiltration in gut or treatment-related toxicity. Intestinal obstruction is one of these complications and this occurs mostly due to constipation and impacted stool. Intussusception is a very rare entity in children with ALL. Left sided colo-colic intussusception is even rarer. Most of the intussusceptions are ileo-colic and are as-sociated with a lead point. We present a case of left sided colo-colic intussusception in an 8-year-old child with ALL. There was no lead point or leukemic infiltrate in the resected part of the intussusception. Our child had typhlitis leading to in-tussusception which is a very rare occurrence. Awareness regarding this complication with ALL is important for prompt diagnosis and treatment.
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KEYWORD
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Acute lymphoblastic leukemia, Colo-colic, Intussusception
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