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.

Insights

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.

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