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Colonoscopic reduction of a transanal prolapsed ileocolic intussusception

Iraj Shahramian1, Fateme Parooie2,3, Seyed Ali Mirabbasi1

  • 1Pediatric Gastroenterology and Hepatology Research Center, Zabol University of Medical Sciences, Zabol, Iran.

Wiener Medizinische Wochenschrift (1946)
|February 15, 2022
PubMed

Insights

Transanal protrusion of intussusception, a rare complication, was successfully reduced using colonoscopy in an infant. This case highlights colonoscopy as a viable, less invasive treatment option for prolapsed intussusception.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Endoscopy

Background:

  • Transanal protrusion of intussusception (TAPI) is a rare but significant complication.
  • Early diagnosis and intervention are crucial for favorable outcomes in pediatric intussusception.

Purpose of the Study:

  • To report the first successful colonoscopic reduction of ileocolic intussusception presenting with transanal prolapse.
  • To propose colonoscopy as a therapeutic alternative to surgery for specific TAPI cases.

Main Methods:

  • A case study of an 8-month-old male infant with transanal prolapsed intussusception.
  • Sonographic evaluation to confirm ileocolic intussusception in the rectosigmoid area.
  • Therapeutic colonoscopic reduction of the intussusception.

Main Results:

  • Successful reduction of the transanal prolapsed ileocolic intussusception via colonoscopy.
  • The patient presented with anal mass, diarrhea, and rectal bleeding.

Conclusions:

  • Colonoscopic reduction is a feasible and potentially curative treatment for transanal prolapsed intussusception.
  • Gastroenterologists should consider colonoscopy for TAPI, especially within 48 hours of symptom onset without peritonitis, as a less invasive approach before considering laparotomy.

Keywords:
Intestinal blockageIntestinal invaginationInvaginationPediatricTelescoping sign

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