Abstract
We report a case of 9-year-old girl with intussusception which developed three times within 48 hours. We repeated the hydrostatic reduction procedure because we could not find any organic bowel diseases, but we were unable to make a decision about abdominal section. There are no guidelines for treatment of intussusception in older children although they are considered to have organic diseases. To elucidate the relationship between intussusception in older children and the presence of organic bowel diseases, we investigated 16cases of intussusception in children at or over the age of 3 years that we experienced in our hospital between September 1996 and September 2006. Only 2 patients (12.5%) had some organic bowel disease and the other cases were thought to be idiopathic even in older cmL dren. She has been well for 6 months without any symptoms since the last recurrence. Therefore, we think that we can repeat the hydrostatic reduction procedure even for recurrent intussusception in older children, continuing to look for any organic bowel disease which can become a leading indicator. Accordingly, we must carefully choose surgical procedures for recurrent intussusception in older children.
