Abstract
Isolated colocolic intussusception in paediatric age group is quite rare with juvenile polyps being the most important pathological lead points. We are reporting a case of colocolic intussusception secondary to solitary hamartomatous polyp as lead point in a 3.5 year old male child who presented with profuse bleeding per rectum. The patient was successfully managed by reduction and colonic resection with colo colic anastomosis and is doing well in follow up. DOI: 10.21276/APALM.1018
Highlights
Intussusceptionis a frequent cause of paediatric intestinal obstruction, seen most commonly in the childrenunder2 years of age with the peak incidence being in between 5 and 10 months of age
Colocolic intussusception (CCI) is an uncommon type of intussusception occurring in paediatric population with majority cases usually associated with a pathologic lead point such as juvenile polyps or tumor mass.[1]To our knowledge, approximately 14 cases of CCI in children have been reported in literature till date with 65% of them associated with juvenile polyps as leading point for this variety of intussusceptions in the pediatric age group
We are reporting a case of colocolic intussusception with solitary hamartomatous polyp as lead point in a three and a half year old male child who presented with profuse rectal bleeding, highlighting the unusual presentation of a rare benign etiology of intussusception at an uncommon site in the child
Summary
Intussusceptionis a frequent cause of paediatric intestinal obstruction, seen most commonly in the childrenunder years of age with the peak incidence being in between 5 and 10 months of age. We are reporting a case of colocolic intussusception with solitary hamartomatous polyp as lead point in a three and a half year old male child who presented with profuse rectal bleeding, highlighting the unusual presentation of a rare benign etiology of intussusception at an uncommon site in the child. A 12 kg 3.5 year-old male child was brought to accident and emergency department by his parents with complaints of abdominal pain, profuse rectal bleeding and decreased acceptance. There was large polypoidal growth seen (Figure 1). The resected colonic polyp was sent for histopathological examination.
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