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Sigmoido-rectal intussusception
R B Singh1, R S Dahiya, K Singh
1Department of Surgery, Medical College and Hospital, Rohtak, Haryana.
Insights
Sigmoido-rectal intussusception, a rare condition in children, is often misdiagnosed as rectal prolapse. Early recognition by surgeons is crucial to prevent delayed treatment and improve outcomes.
Area of Science:
- Pediatric surgery
- Gastroenterology
Background:
- Sigmoido-rectal intussusception is an uncommon cause of bowel obstruction in pediatric patients.
- It is frequently misdiagnosed as rectal prolapse due to its presentation.
Observation:
- Assessment of prolapsed bowel at the anal orifice can be incomplete.
- The typical triad of intussusception (abdominal mass, pain, rectal bleeding) is often absent.
Findings:
- Lack of surgeon awareness contributes to diagnostic delays.
- Misdiagnosis as rectal prolapse is common, hindering timely intervention.
Implications:
- Improved awareness and diagnostic criteria are needed for sigmoido-rectal intussusception.
- Prompt diagnosis and treatment are essential for better pediatric surgical outcomes.
Abstract:
Sigmoido-rectal intussusception is the least common type of intussusception seen in infants and children and is therefore usually misdiagnosed as rectal prolapse. Delay in diagnosis and treatment is due to lack of its awareness amongst surgeons, incomplete assessment of the prolapsed bowel at the anal orifice, and absence of classical traid of intussusception i.e. palpable abdominal mass, colicky abdominal pain, and bleeding per rectum.