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Colocolic intussusception in an older child: a rare case report and a literature review

Anupam Das1, Lalmalsawma Ralte, A S Chawla

  • 1Department of General Surgery, Vardhman Mahavir Medical College, Safdarjung Hospital, Ansari Nagar, New Delhi 110029, India.

Case Reports in Surgery
|March 28, 2013
PubMed

Insights

Colocolic intussusception, rare in children, occurred in a 13-year-old boy due to colon cancer. This case highlights a rare pediatric presentation of intestinal obstruction caused by adenocarcinoma.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Oncology

Background:

  • Intussusception is a frequent cause of intestinal obstruction in children, typically ileocolic.
  • Colocolic intussusception is rare in pediatric patients, usually occurring in adults secondary to malignancy.

Purpose of the Study:

  • To report a rare case of colocolic intussusception in a 13-year-old boy.
  • To discuss the association with colonic adenocarcinoma in a pediatric patient.

Main Methods:

  • Case presentation of a 13-year-old male with acute abdominal pain and bleeding per rectum.
  • Diagnostic workup included ultrasound and X-rays.
  • Surgical intervention involved reduction and segmental resection of the affected colon.

Main Results:

  • Intraoperative findings revealed a polypoidal growth in the descending colon causing colocolic intussusception.
  • Histopathology confirmed mucinous adenocarcinoma of the colon.
  • The patient presented with symptoms of obstruction and bleeding.

Conclusions:

  • Colocolic intussusception, though rare, can occur in children and may be associated with underlying malignancy.
  • Mucinous adenocarcinoma is an exceptionally rare cause of intussusception in the pediatric population.
  • This case underscores the importance of considering malignancy in pediatric intussusception, particularly in older children.

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