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Giant Solitary Ileal Polyp Presenting as an Intussusception in a 10-year-old Boy

Rajendra Kumar Ghritlaharey1

  • 1Department of Paediatric Surgery, Gandhi Medical College and Associated Kamla Nehru and Hamidia Hospitals Bhopal, Madhya Pradesh 462001, India.

The Malaysian Journal of Medical Sciences : MJMS
|September 24, 2014
PubMed

Insights

A 10-year-old boy with acute intestinal obstruction was diagnosed with intussusception caused by an inflammatory intestinal polyp. Surgical resection and anastomosis led to an uneventful recovery, with no signs of malignancy.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Abdominal Imaging

Background:

  • Intussusception is a common cause of intestinal obstruction in children.
  • Solitary intraluminal polyps can act as a lead point for intussusception.
  • Prompt diagnosis and management are crucial for favorable outcomes.

Purpose of the Study:

  • To report a rare case of ileo-colic intussusception secondary to a large inflammatory intestinal polyp in a pediatric patient.
  • To highlight the diagnostic role of sonography and the surgical approach.

Main Methods:

  • Case presentation of a 10-year-old boy with acute intestinal obstruction.
  • Clinical examination, abdominal sonography, and surgical exploration.
  • Manual reduction of intussusception, segmental ileal resection, and ileo-ileal anastomosis.
  • Histopathological examination of the resected polyp.

Main Results:

  • Clinical suspicion of intussusception confirmed by sonography.
  • Ileo-colic intussusception identified during surgery, with a solitary 3x4 cm inflammatory polyp obstructing the terminal ileum.
  • Successful surgical resection and anastomosis.
  • Histology confirmed an inflammatory intestinal polyp without malignancy.

Conclusions:

  • Inflammatory intestinal polyps can serve as a lead point for intussusception in children.
  • Surgical intervention is effective for managing intussusception caused by intraluminal polyps.
  • This case underscores the importance of thorough histopathological evaluation to rule out malignancy.

Keywords:
childrenintestinal obstructionintestinal polypintussusception

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