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Unusual Presentation of Ileal Intussusception Due to Submucosal Lipoma in a Child and its Management
Nisha Girish1, Naveen Thomas1, Gayathri Natraj1
1Department of Pathology, Bangalore Baptist Hospital, Bengaluru, Karnataka, India.
Insights
Recurrent intussusception in children can be caused by pathological lead points, such as lipomas. This case report details the management of ileo-ileal intussusception in an obese child due to a submucosal lipoma.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Abdominal Imaging
Background:
- Intussusception is common in infants, but rare in older children and adults.
- In older populations, intussusception often indicates an underlying bowel pathology, termed pathological lead points (PLPs).
- Common PLPs include Meckel's diverticulum, hemangiomas, carcinoids, polyps, and submucosal lipomas.
Abstract:
Idiopathic intussusception is the most common form of intussusception in infants and young children. In older children and adults, intussusception being rare, the lead point is usually an underlying bowel pathology (Meckel's diverticulum, hemangioma, carcinoids, polyps, submucous lipomas, etc.) and these are called pathological lead points (PLP's). The management of an obese child with recurrent abdominal pain for over 2 years, diagnosed with ileo-ileal intussusception due to submucosal lipoma is reported here.
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