Colocolic Intussusception in an Older Child: A Rare Case Report and a Literature Review. (28th February 2013)

• Record Type: Journal Article
• Authors: Das, Anupam; Ralte, Lalmalsawma; Chawla, A. S.; Arya, S. V.; Kumar, Anil; Saroha, Ravi; Kalwaniya, Dheer Singh
• Other Names: Bentrem D. J. Academic Editor.; Foroulis C. Academic Editor.; Kawai H. Academic Editor.
• Is Part Of: Case reports in surgery. Volume 2013(2013)
• Publication Date: 2013-02-28
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; Surgical Procedures, Operative; General Surgery; Surgery; Electronic journals; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617
• DOI: 10.1155/2013/106831
• Languages: English
• ISSNs: 2090-6900

Abstract

Abstract : Intussusception is a common cause of intestinal obstruction and colicky abdominal pain in the children, particularly infants, the commonest being the ileocolic variety with colocolic variety being a very rare entity. We present a case of colocolic intussusception in a 13-year-old boy which is otherwise seen in adults, precipitated by colonic malignancies. The patient presented with acute abdominal pain and bleeding perrectum with obstipation for 7 days. Preoperative USG abdomen was normal, and abdominal X-rays showed multiple air fluid levels. Intraoperative findings included a polypoidal growth in the descending colon as the leading point with the formation of a colo-colic intussusception. Following reduction and segmental resection, histopathology reported mucinous adenocarcinoma of colon which is also a rarity in pediatric age group. This case has been compared with previous cases reported in the literature.