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Related Experiment Videos

Recurrent intussusception reduced by the patient: a case report

C A Adebamowo1, T Yawe, J K Ladipo

  • 1Department of Surgery, University College Hospital, Ibadan, Nigeria.

East African Medical Journal
|April 1, 1995
PubMed
Summary

A case of recurrent acute intussusception in a patient with a palpable abdominal mass was successfully treated. Surgical removal of multiple colonic polyps led to a full recovery, with the patient remaining well for 3 years.

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Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Colorectal Surgery

Background:

  • Intussusception is a common surgical emergency in infants and children.
  • Recurrent intussusception can be challenging to manage, especially when associated with an abdominal mass.
  • Colonic polyps are a potential, though less common, cause of intussusception.

Observation:

  • A patient presented with recurrent acute intussusception.
  • A palpable abdominal mass was noted, which the patient could spontaneously reduce, relieving symptoms.
  • This self-reducing mass associated with intussusception raised diagnostic questions.

Findings:

  • Surgical exploration revealed multiple colonic polyps as the underlying cause.
  • A total colectomy with ileorectal anastomosis was performed.

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  • Histopathological examination confirmed the presence of numerous polyps.

    • Implications:

    • This case highlights colonic polyps as a rare but significant cause of recurrent intussusception.
    • Spontaneous reduction of intussusception associated with a palpable mass warrants thorough investigation for underlying pathology.
    • Surgical management, including colectomy, can be curative for intussusception caused by colonic polyps.