Pediatr. praxi 2017; 18(6): 379-382 | DOI: 10.36290/ped.2017.075
Large juvenile colonic polyp presenting as colocolic intussusception in a child
- 1 1Ústav molekulární a translační medicíny LF UP Olomouc
- 2 2Dětská klinika LF UP FN v Olomouci
- 3 3Chirurgická klinika LF UP a FN v Olomouci
- 4 4Ústav klinické a molekulární patologie LF UP a FN v Olomouci
- 5Radiologická klinika LF UP a FN v Olomouci
Colocolonic intussusception (CCI) is an uncommon cause of intestinal obstruction in children. The most common type is idiopathicileocolic intussusception. However, pathologic lead points occur approximately in 5% of cases. In pediatric patients, Meckel’s diverticulumis the most common lead point, followed by polyps and duplication. Hydrostatic reduction and endoscopic polypectomyare minimally invasive and technically feasible for treating smaller CCI.We present a case of colocolonic intussusception which caused colonic obstruction in a 5-year-old boy. Abdominal ultrasonographyshowed an acute colocolic intussusception with a large colonic polyp, 4 centimeters in diameter, which was successfullyremoved by laparotomic segmental colectomy.
Keywords: colocolonic intussusception, juvenile polyp, large colonic polyp, laparotomy, segmental resection
Published: December 1, 2017 Show citation
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