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Original ArticleOpen Access
Intussusception Associated with a Relapsing Nephrotic Patient : A Case Report
Kietkajornkul C 
,
Vithayasai N ,
Ratanaprakarn W ,
Buranakitjaroen V
,
Vithayasai N ,
Ratanaprakarn W ,
Buranakitjaroen V NIY ADA VITHA Y ASAI, MD**,
VEERA BURANAKITJAROEN,MD****
Background : Gastrointestinal disturbances are encountered frequently in the course of the
nephrotic syndrome but intussusception is a rare association.
It
may be the result of incoordinate
motility and bowel wall edema.
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.
Key word lgM Nephropathy, Mesangial Proliferative Glomerulonephritis, Nephrotic Syndrome,
Intussusception
VEERA BURANAKITJAROEN,MD****
Background : Gastrointestinal disturbances are encountered frequently in the course of the
nephrotic syndrome but intussusception is a rare association.
It
may be the result of incoordinate
motility and bowel wall edema.
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.
Key word lgM Nephropathy, Mesangial Proliferative Glomerulonephritis, Nephrotic Syndrome,
Intussusception
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