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Colocolic intussusception in a three-year-old child caused by a colonic polyp
A L Arthur1, R Garvey, D G Vaness
1Department of Pediatrics, Bridgeport Hospital.
Connecticut Medicine
|September 1, 1990
Summary
Colocolic intussusception in children is rare, often caused by juvenile polyps. Early diagnosis and removal of the polyp, potentially via colonoscopy, are key treatments.
Area of Science:
- Pediatric Gastroenterology
- Surgical Oncology
Background:
- Colocolic intussusception is an infrequent cause of pediatric intestinal obstruction, distinct from more common ileocolic intussusception.
- Less than 3% of reported pediatric intussusception cases originate in the colon, with juvenile polyps frequently identified as the pathological lead point.
Observation:
- Juvenile polyps, typically found in the rectosigmoid colon, can act as lead points for colocolic intussusception when located proximally.
- Painless hematochezia is a common symptom associated with juvenile polyps, but large polyps can precipitate intussusception.
Findings:
- Pediatric colocolic intussusception warrants investigation for colonic polyps or other mass lesions.
- Diagnostic clues can be obtained through physical examination and barium studies.
- A case of colocolic intussusception caused by a colonic polyp in a pediatric patient is presented.
Implications:
- Prompt identification of colonic polyps is crucial in pediatric patients with colocolic intussusception.
- Colonoscopic polypectomy offers a less invasive alternative to surgery for polyp removal.
- Understanding the link between juvenile polyps and colocolic intussusception aids in diagnosis and management.