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Rare presentation of small bowel intussusception in childhood

Chung-Yan Grace Chan1, Pui-Ki Jane Tsang1, Ping-Yung Chu1

  • 1Department of Radiology and Nuclear Medicine, Tuen Mun Hospital, New Territories, Hong Kong.

Pediatrics International : Official Journal of the Japan Pediatric Society
|April 28, 2016
PubMed

Insights

Small bowel intussusception with volvulus is rare in children, requiring immediate surgery. This case highlights jejuno-jejunal intussusception caused by a polyp, leading to bowel infarction in a 9-year-old girl.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Radiology
  • Surgical Pathology

Background:

  • Small bowel intussusception is uncommon in older children.
  • Intussusception combined with volvulus presents a diagnostic and surgical challenge.
  • Prompt diagnosis and intervention are crucial for favorable outcomes.

Observation:

  • A 9-year-old Chinese girl presented with symptoms suggestive of intussusception.
  • Preoperative computed tomography (CT) accurately diagnosed jejuno-jejunal intussusception with volvulus.
  • Laparotomy confirmed the diagnosis and revealed an intestinal polyp as the lead point.

Findings:

  • The patient experienced jejuno-jejunal intussusception complicated by volvulus.
  • Bowel infarction was present due to the compromised blood supply.
  • An intraluminal intestinal polyp was identified as the causative lead point.

Implications:

  • This case underscores the importance of considering intussusception and volvulus in older children with abdominal pain.
  • Computed tomography is a valuable tool for preoperative diagnosis.
  • Surgical management is essential, and polyp identification aids in preventing recurrence.

Keywords:
computed tomographyintussusceptionischemiajejunalvolvulus

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