July 1958

Myoepithelial Hamartoma of the Ileum Causing Intussusception

Author Affiliations

Rochester, N. Y.
From the Department of Surgery, University of Rochester School of Medicine and Dentistry.

AMA Arch Surg. 1958;77(1):102-104. doi:10.1001/archsurg.1958.01290010104018

The great majority of cases of intussusception in childhood have had no demonstrable etiology. In Gross' series only 6% had the etiology determined.4 Listed in the literature as factors causing intussusception are Meckel's diverticulum, ileal polyp, duplication of the terminal ileum, hematoma, lymphoma, lipoma, polyp, and aberrant pancreas. This case is presented as the first instance in which a myoepithelial hamartoma has been implicated as the etiologic agent.

Report of a Case  An 8-month-old white boy was admitted to the hospital on Sept. 28, 1956, with a history of vomiting of 30 hours' duration. On the day prior to admission vomiting began, and the mother noted that the patient was lethargic. His temperature was 100.2 F. Vomiting persisted, and it appeared that the patient was suffering from intermittent abdominal pain. Physical examination on admission revealed a well-developed, well-nourished child who was markedly lethargic and dehydrated. His temperature was 37

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