Colocolic Intussusception in an Older Child: A Rare Case Report and a Literature Review

Das, Anupam; Ralte, Lalmalsawma; Chawla, Ashish; Arya, Shobhit; Kumar, Anil; Saroha, Ravi; Kalwaniya, Dheer Singh

doi:10.1155/2013/106831

Cited by 18 publications

(14 citation statements)

References 6 publications

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“…Malignant lead points are rarely reported as pathological lead points in colocolic intussusception [ 45 , 46 ]. The largest series [ 6 ] of pediatric colocolic intussusceptions included 8 cases in which 7 were secondary to benign juvenile polyp which is the most commonly reported PLP for colocolic intussusception [ 46 ]. The rarity of reported colocolic intussusceptions can add to the therapeutic and diagnostic challenges.…”

Section: Discussionmentioning

confidence: 99%

The radiological characteristics of childhood intussusception including unusual features and rare pathological lead points

Khasawneh

El-Heis

Al-Omari

et al. 2021

Heliyon

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Purpose To describe the radiological characteristics for childhood intussusceptions including unusual radiological features and rare pathological lead points (PLP). Material and methods The medical records of all childhood intussusceptions between 1/1/2010 -1/10/2020 were retrospectively reviewed. 95 cases were identified in 82 patients. The demographic data, presenting symptoms, diagnostic and treatment methods, radiological features, and PLPs among the different types of intussusception were analyzed. Results Ileocolic intussusception (ICI) represented 53.7% (51/95). The average age for ICI was 1.87 years. Males constituted 72.1% (31/43). 29.4% (15/51) were treated primarily surgically due to peritonitis. Small bowel intussusception (SBI) represented 40% (38/95) in which females constituted 51.5% (17/33). Ileo-ileal represented 63.2% (24/38). 81.8% (27/33) were transient. On ultrasound; There was a statistically significant difference in the size of the outer diameter of ICI compared to SBI (P-value 0.00012). Ileo-ileocolic and colo-colic intussusceptions constituted 3.2% (3/95); each and were more common in females. Vomiting was the most common symptom for intussusception and ultrasound was diagnostic in the majority of cases. PLPs were seen in 36.6% (30/82) of the patients of which the average age was 7 years. PLPs/risk factors were benign in 80% (24/30). A case of colo-colic intussusception was seen in a 16-year-old female due to clear cell sarcoma which was not reported before. 12.2% patients (10/82) had recurrent intussusception. Conclusion Our study showed that ICI is the most commonly encountered type. SBIs are mostly transient. It is important to radiologically determine the type of intussusception and to identify PLPs or unusual radiological features to avoid unnecessary intervention and significant patient morbidity.

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Section: Discussionmentioning

confidence: 99%

The radiological characteristics of childhood intussusception including unusual features and rare pathological lead points

Khasawneh

El-Heis

Al-Omari

et al. 2021

Heliyon

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“…Forty-one studies had undergone full-text review, and 21 were excluded because they were published before 2000, lacked incomplete data, did not report the outcome of interest, and were not about colocolic intussusception or pediatric cases. Twenty studies were included, and 37 patients, including our 10 patients, were evaluated (Table 3) [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24].…”

Section: Literature Searchmentioning

confidence: 99%

Colocolic intussusception in children: A case series and literature review

Yan

Shen

Peng

et al. 2022

Preprint

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Background Colocolic intussusceptions is a rare subtype of intussusception mostly caused by juvenile polyps. The treatment of colocolic intussusception caused by other pathologic lead points remains poorly understood. Methods A systematic literature review between January 2000 and June 2021 was performed to characterize the comprehensive treatment of colocolic intussusception in children. This report also included 10 patients admitted to our center between 2010 and 2020 not previously reported in the literature. Results We identified 27 patients in 20 studies in addition to 10 patients from our center for a total of 37 patients (median age, 4.0 years; 54.1% male). The lead point was identified in 33 patients (33/37, 89.2%). The most common lead point was juvenile polyps (16/33, 48.5%). A therapeutic enema was performed in 12 patients with colocolic intussusception caused by juvenile polyps and was successful in 8 patients (8/12, 66.7%). Colonoscopic polypectomy was subsequently performed in 7 patients and was successful in 6 patients (6/7, 85.7%). The other patient had undergone laparoscopic exploration, and no abnormality was found. Subsequently, the patient underwent open surgery. The patients with colocolic intussusception caused by other pathologic lead points almost underwent surgical treatment (14/17, 82.4%), including 12 open surgeries and 2 laparoscopic surgeries. Conclusion A therapeutic enema followed by colonoscopic polypectomy is feasible to treat colocolic intussusception caused by juvenile polyps unless the patient has bowel perforation; however, open surgery is sometimes needed. For patients with colocolic intussusception caused by other pathologic lead points, open surgery may be preferable to laparoscopic surgery.

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“…Colocolic intussusception (CCI) is an uncommon type of intussusception occurring in paediatric population with majority cases usually associated with a pathologic lead point such as juvenile polyps or tumor mass. [1] To our knowledge, approximately 14 cases of CCI in children have been reported in literature till date with 65% of them associated with juvenile polyps as leading point for this variety of intussusceptions in the pediatric age group. We are reporting a case of colocolic intussusception with solitary hamartomatous polyp as lead point in a three and a half year old male child who presented with profuse rectal bleeding, highlighting the unusual presentation of a rare benign etiology of intussusception at an uncommon site in the child.…”

Section: Introductionmentioning

confidence: 97%

Large hamartomatous polyp presenting with profuse rectal bleeding in colo-colic intussuception in a child: a case report

Rattan

Bansal

Yadav

et al. 2017

APALM

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Isolated colocolic intussusception in paediatric age group is quite rare with juvenile polyps being the most important pathological lead points. We are reporting a case of colocolic intussusceptionsecondary to solitary hamartomatous polyp as lead point in a 3.5 year oldmalechild who presented with profuse bleeding per rectum. The patient was successfully managed by reduction and colonic resection withcolo colic anastomosis and is doing well in follow up.

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Colocolic Intussusception in an Older Child: A Rare Case Report and a Literature Review

Cited by 18 publications

References 6 publications

The radiological characteristics of childhood intussusception including unusual features and rare pathological lead points

The radiological characteristics of childhood intussusception including unusual features and rare pathological lead points

Colocolic intussusception in children: A case series and literature review

Large hamartomatous polyp presenting with profuse rectal bleeding in colo-colic intussuception in a child: a case report

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