Colocolic Intussusception in a Child with Pathologic Lead Point Along with Intestinal Malrotation-A Rare Case Report...

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Clinical Case Reports

Background:

• Intestinal obstruction in children commonly results from intussusception and intestinal malrotation, conditions known as Waugh's syndrome when occurring together.
• While ileocolic intussusception is prevalent in children, the colocolic variant is exceptionally rare.
• Previous reports of Waugh's syndrome predominantly feature ileocolic intussusception, with only one case mentioning colocolic intussusception linked to lymphangioma as the pathological lead point.

Observation:

• This report presents an unusual case of a seven-year-old child diagnosed with colocolic intussusception.
• The condition was associated with intestinal malrotation.
• A juvenile polyp was identified as the pathological lead point (PLP) for the colocolic intussusception.

Findings:

• The co-existence of colocolic intussusception, a juvenile polyp as the PLP, and intestinal malrotation in a child is an extremely rare clinical presentation.
• This specific combination has not been previously documented in existing medical literature.

Implications:

• This case expands the understanding of pathological lead points in pediatric intussusception, particularly in the context of Waugh's syndrome.
• Highlights the importance of considering rare etiologies for intussusception, even in the presence of malrotation.
• Suggests that juvenile polyps should be considered as potential PLPs in pediatric colocolic intussusception, especially when associated with malrotation.