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Neglected intussusception presenting as transanal prolapse of small bowel

Amit Ray1, Kartik Chandra Mandal, Ram Mohan Shukla

  • 1Department of Pediatric Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, India.

Indian Journal of Pediatrics
|February 11, 2012
PubMed

Insights

Transanal intussusception in infants, though rare, is often misdiagnosed as rectal prolapse, leading to treatment delays. This condition can cause significant morbidity and mortality if not promptly identified and managed.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Transanal intussusception is a rare condition in infants.
  • It is frequently misdiagnosed as rectal prolapse, complicating timely intervention.
  • Delayed diagnosis is associated with increased morbidity and mortality.

Observation:

  • A 9-month-old boy presented with symptoms suggestive of rectal prolapse.
  • Clinical examination revealed a prolapsing mass that mimicked rectal prolapse.

Findings:

  • The prolapsing mass was identified as small bowel intussusception.
  • This case underscores the diagnostic challenges in differentiating intussusception from rectal prolapse.

Implications:

  • Early recognition and accurate diagnosis of transanal intussusception are crucial for preventing complications.
  • Increased awareness among clinicians can improve patient outcomes and reduce associated risks.
  • Further research into diagnostic modalities may aid in distinguishing these conditions.

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