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Related Experiment Videos

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
PubMed
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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.

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  • 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.