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Cecal polyp and appendiceal intussusception in a child with recurrent abdominal pain: diagnosis by colonoscopy
D J Bailey1, K R Courington, J M Andres
1Department of Pediatrics (Gastroenterology), University of Florida, College of Medicine, Gainesville 32610.
Insights
A juvenile polyp caused appendiceal intussusception in a child presenting with abdominal pain. Surgical resection of the polyp and appendix resolved the condition, highlighting a rare cause of pediatric intussusception.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Pathology
Background:
- Appendiceal intussusception is a rare condition in children.
- It can present with non-specific symptoms like recurrent abdominal pain.
- Identifying the underlying cause is crucial for effective treatment.
Observation:
- A 7-year-old boy experienced recurrent abdominal pain.
- Colonoscopy revealed an inverted appendix.
- A polypoid mass at the base of the invaginated appendix was identified during surgery.
Findings:
- Histological examination confirmed the mass as a juvenile polyp.
- The polyp was located at the base of the partially invaginated appendix.
- Surgical resection of the cecal mass and appendix was successfully performed.
Implications:
- Juvenile polyps can act as a lead point for appendiceal intussusception in children.
- Early diagnosis and surgical intervention are key to managing this condition.
- This case broadens the differential diagnosis for pediatric abdominal pain.
Abstract:
A 7-year-old boy developed recurrent abdominal pain. He was eventually discovered to have an inverted appendix via colonoscopy. At surgery, a polyploid intracecal mass was palpated at the base of the partially invaginated appendix. Resection of the cecal mass (histologically, a juvenile polyp) and appendix was easily accomplished. The types of clinical presentation and treatment of children with appendiceal intussusception are discussed.