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A child with colo-colonic intussusception due to a large colonic polyp: Case report and literature review

Toshiaki Takahashi1, Go Miyano, Hajime Kayano

  • 1Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.

African Journal of Paediatric Surgery : AJPS
|July 23, 2014
PubMed

Insights

Colo-colonic intussusception caused by polyps is rare in children. Hydrostatic reduction and endoscopic polypectomy offer minimally invasive treatment options for this condition.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Colo-colonic intussusception (CI) is an uncommon cause of intestinal obstruction in school-aged children.
  • Colonic polyps are a rare etiology for CI, necessitating specific diagnostic and therapeutic approaches.

Observation:

  • A case of CI secondary to a colonic polyp in a school-aged child is presented.
  • The diagnostic challenges and successful management of this rare presentation are detailed.

Findings:

  • Hydrostatic reduction (HR) is a feasible and minimally invasive technique for CI.
  • Endoscopic polypectomy is a safe and effective treatment for CI caused by colonic polyps.

Implications:

  • This case highlights the importance of considering colonic polyps in the differential diagnosis of CI in children.
  • Minimally invasive approaches like HR and endoscopic polypectomy should be considered for treating CI due to polyps.

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