Reduction of Small Bowel Instussuception Caused by Jejunal Hamartomatous Polyps Documented by Intraoperative Video
Insights
Non-Peutz Jeghers hamartomatous polyps caused jejuno-jejunal intussusception and small bowel obstruction in a child. This case report includes a unique intraoperative video of the reduction process.
Area of Science:
- Pediatric Gastroenterology
- Surgical Case Reports
Background:
- Small bowel intussusception is an uncommon cause of intestinal obstruction in children.
- Hamartomatous polyps, while rare, can precipitate intussusception.
Observation:
- A pediatric patient presented with symptoms of small bowel obstruction.
- Intussusception was diagnosed, caused by non-Peutz Jeghers hamartomatous polyps.
- An intraoperative video documented the intussusception reduction.
Findings:
- Successful surgical reduction of jejuno-jejunal intussusception secondary to hamartomatous polyps.
- The case highlights the importance of considering small bowel intussusception in pediatric abdominal emergencies.
Implications:
- This report offers a unique educational resource with intraoperative video for understanding and managing this rare condition.
- Emphasizes the need for vigilance in diagnosing small bowel intussusception in children with persistent abdominal symptoms.
Abstract:
We present a case of non-Peutz Jegher hamartomatous polyps causing jejuno-jejunal intussusception and small bowel obstruction in a pediatric patient. In addition, we also provide an intraoperative video of the intussusception reduction process. Polyps causing small bowel intussusception are uncommon but not rare. However, we could not find in the medical literature any videos of the intussusception reduction process. We feel this case report, the discussion provided, and the intraoperative video correlation will offer a unique educational perspective to this disease entity. In addition, this case report will also show the importance of considering small bowel intussusception in the differential of a child who presents with vague but persistent abdominal symptoms.
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