Colonic polyp as a rare aetiology of paediatric colocolic intussusception

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Diagnostic Imaging

Background:

• Intussusception is a frequent cause of abdominal pain and bowel obstruction in pediatric patients.
• Colocolic intussusception is an uncommon variant requiring meticulous diagnostic imaging review.
• Identification of a lead point is crucial for appropriate management.

Purpose of the Study:

• To present a case of colocolic intussusception in a young child.
• To emphasize the importance of radiological assessment for lead points.
• To discuss management options for colocolic intussusception with a lead point.

Main Methods:

• A pediatric patient presented with abdominal pain.
• Diagnostic imaging revealed colocolic intussusception.
• Pneumatic and contrast enemas were used for reduction.
• Colonoscopy identified a juvenile polyp as the lead point.
• Endoscopic polypectomy was performed.

Main Results:

• Successful reduction of colocolic intussusception was achieved.
• A large juvenile polyp was identified in the descending colon.
• Complete endoscopic polypectomy was successful.
• The patient's condition was resolved via endoscopic intervention.

Conclusions:

• Colocolic intussusception necessitates critical evaluation for lead points.
• Endoscopic management, including polypectomy, is a viable option for identified lead points.
• Both endoscopic and surgical approaches can effectively treat colocolic intussusception when a lead point is present.