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Intussusception associated with a Meckel's diverticulum and a duplication cyst

Kris Milbrandt1, David Sigalet

  • 1Department of Pediatric Surgery, Alberta Children's Hospital, Calgary, Alberta, Canada T3B 6A8. kris.milbrandt@calgaryhealthregion.ca

Journal of Pediatric Surgery
|December 2, 2008
PubMed

Insights

Intussusception, a common cause of pediatric bowel obstruction, typically has no clear cause in young children. This case report details a rare instance of a child with both Meckel's diverticulum and a duplication cyst causing intussusception.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Surgical Pathology

Background:

  • Intussusception is a leading cause of bowel obstruction in children, frequently necessitating surgical consultation.
  • The understanding of intussusception etiology has evolved significantly over centuries, with idiopathic causes predominant in younger children.
  • Pathologic lead points, such as Meckel's diverticulum and duplication cysts, are recognized causes, with incidence increasing with age.

Observation:

  • This report presents a unique pediatric case of intussusception.
  • The intussusception was caused by the simultaneous presence of both Meckel's diverticulum and a duplication cyst, acting as lead points.
  • This dual pathology is, to our knowledge, unprecedented in the medical literature.

Findings:

  • A pediatric patient presented with intussusception requiring surgical intervention.
  • Operative reduction was successfully performed.
  • Histopathological examination confirmed the presence of both Meckel's diverticulum and a duplication cyst as the lead points.

Implications:

  • This case highlights the importance of thorough intraoperative evaluation for rare dual lead points in pediatric intussusception.
  • Recognizing such complex etiologies is crucial for preventing recurrence and ensuring appropriate management.
  • Further investigation into the combined occurrence of these anomalies may refine our understanding of intussusception pathogenesis.

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