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An Interesting Case of Double Compound Intussusception without Intestinal Occlusion in a 5-Year-Old Boy
Francesca Destro1, Noemi Cantone1, Michela Maffi1
1Department of Pediatric Surgery, S. Orsola-Malpighi Hospital, Bologna, Italy.
Insights
This study reports a rare case of double-site ileoileal intussusception in a child caused by a submucous intestinal lipoma. Laparoscopy was crucial for diagnosis and resolution of this unique condition.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Surgical Pathology
Background:
- Intussusception is a common pediatric surgical emergency, typically idiopathic and presenting as acute abdomen.
- Complex intussusception involving multiple or remote segments is rare, often anatomically caused, and diagnosed intraoperatively.
- Submucous intestinal lipomas are benign tumors that can rarely lead to intussusception.
Abstract:
Intussusception is a very common surgical finding in children. Idiopathic intussusception is relatively frequent in children within the first year and it usually causes an acute abdomen. Instead, complex intussusception involving multiple or remote intestinal segments is a very rare entity and it is frequently diagnosed intraoperatively. It is often because of an anatomical cause and it can occur at any age. We report a unique case of contemporary double site anterograde and retrograde ileoileal intussusception without intestinal occlusion because of a submucous intestinal lipoma. In our case, imaging studies were important for clinical suspicion and laparoscopy was essential for final diagnosis and its resolution.
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