Related Experiment Video
Updated: Jul 3, 2025
04:55
Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
10.8K
Case Report of a Child with Colocolic Intussusception with a Primary Lead Point
Ethan Lee1, Jeremy Lins2, Chelsea Cosand2
1Loma Linda University School of Medicine, Loma Linda, CA.
Journal of Education & Teaching in Emergency Medicine
|February 12, 2024
Summary
Intussusception, a bowel telescoping condition, can recur, especially in older children. This case highlights a 6-year-old experiencing recurrent intussusception due to a colonic polyp after initial reduction.
Area of Science:
- Pediatric Gastroenterology
- Surgical Pediatrics
Background:
- Intussusception involves bowel telescoping, risking ischemia and perforation.
- Classic symptoms are infrequent in pediatric intussusception, particularly in older children.
- Ultrasound is a sensitive diagnostic tool for intussusception.
Purpose of the Study:
- To report a case of recurrent colocolic intussusception in a pediatric patient.
- To emphasize the role of a pathologic lead point in intussusception recurrence.
Main Methods:
- Case report of a 6-year-old child diagnosed with colocolic intussusception.
- Initial reduction via enema.
- Follow-up assessment for recurrence.
Main Results:
- The intussusception was successfully reduced initially.
- Recurrence occurred within five days.
- A large colonic polyp was identified as the lead point for recurrence.
Conclusions:
- Colocolic intussusception can recur, even after successful reduction.
- Pathologic lead points, such as colonic polyps, are significant factors in pediatric intussusception recurrence.
- Prompt diagnosis and management are crucial for recurrent intussusception.
Related Concept Videos
01:25Assessment of the Rectum and Anus
220
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
220
01:25Endoscopic Procedures II: Colonoscopy
97
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
97
01:22Appendicitis-I: Introduction
145
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
145
01:21Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
185
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
185
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
85
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
85