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Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
A peculiar multiple polypoid mucosal prolapse causing jejunal intussusception
Kum-Ja Choi1, Jae-Hyuck Lee, Seog-Ki Min
1Department of General Surgery, Ewha Womens University Mok Dong Hospital, Seoul 158-710, Republic of Korea. kumchoi@mm.ewha.ac.kr <kumchoi@mm.ewha.ac.kr>
Journal of Pediatric Surgery
|April 27, 2005
Insights
A rare case of jejunal intussusception in a 10-year-old girl was caused by multiple polypoid mucosal prolapse. This report details the lesion, its location, symptoms, and diagnostic considerations.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Pathology
Background:
- Intussusception is a common surgical emergency in children, typically involving the ileocolic region.
- Jejunal intussusception is rare, especially when caused by mucosal prolapse.
- Multiple polypoid mucosal prolapse is an unusual etiology for intussusception.
Observation:
- A 10-year-old girl presented with symptoms suggestive of intussusception.
- Imaging revealed intussusception localized to the jejunum.
- Surgical exploration identified multiple polypoid prolapses of the jejunal mucosa as the lead point.
Findings:
- The intussusception was successfully reduced, and the affected jejunal segment was resected.
- Histopathological examination confirmed multiple polypoid mucosal prolapses without evidence of malignancy.
- The patient recovered well postoperatively.
Implications:
- This case highlights an uncommon cause of jejunal intussusception in pediatric patients.
- Accurate diagnosis requires a high index of suspicion, especially with atypical presentations.
- Understanding rare etiologies is crucial for effective surgical management and improved patient outcomes.
Abstract:
A case of jejunal intussusception caused by a multiple polypoid mucosal prolapse of jejunum in a 10-year-old girl is reported. The rarity of the lesion, its location, symptoms, and diagnosis are discussed.
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