Intussusception after Routine Colonoscopy: A Rare Complication

Min, Michael; Sklow, Bradford; Vaughn, Byron P.

doi:10.14309/crj.2017.63

Cited by 13 publications

(18 citation statements)

References 13 publications

(18 reference statements)

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“…Tafner et al (17) reported that 20 of 30 pediatric intussusception patients could be safely reduced by colonoscopy, and this method is safe because it is non-invasive and the intestine can be directly observed. On the other hand, it has been reported that intestinal intussusception develops iatrogenically after TCS, and further investigation is required for the reduction in intussusception on TCS (18)(19)(20).…”

Section: Discussionmentioning

confidence: 99%

Cecal Intussusception Diagnosed by Total Colonoscopy in a Child: A Case Report

et al. 2020

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Background: Ileocolic intussusception is the most common form of intussusception in children. Intussusception in the appendix or cecum without a lead point in a child is very rare and was found with total colonoscopy (TCS) and computed tomography. Case Presentation: A 9 year-old boy was admitted to our hospital with fever, vomiting, and two episodes of bloody diarrhea. Inflammatory bowel disease was suspected; TCS was performed and revealed intussusception whose advanced region was in the cecum. The diagnosis was idiopathic cecum intussusception. This case was unusual in that intussusception had occurred at a young age but without lead point; in addition, the intussusception had also occurred at the tip of the cecum. The intussusception was safely reduced by endoscopic procedures, and after improvement in the vomiting, the patient was safely discharged and has had no bloody stools since. Conclusion: We demonstrated cecal intussusception without lead point observed on TCS in a child.

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Section: Discussionmentioning

confidence: 99%

Cecal Intussusception Diagnosed by Total Colonoscopy in a Child: A Case Report

et al. 2020

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“…Only 5 cases of post colonoscopy intussusception have been reported in the literature. Two of these patients had polyp removal as part of the screening protocol/colonoscopy [4,7], two presented with diarrhea and normal colonoscopy findings [5], and the last had chronic constipation and pain in the setting of a prior history of low anterior resection for endometriosis [8]. All of them presented with abdominal pain shortly after colonoscopy and CT findings revealed intussusception.…”

Section: Discussionmentioning

confidence: 99%

Early Postendoscopic Transverse Colo-Colonic Intussusception

He¹,

Rambhujun²,

DeMaria³

et al. 2020

Case Rep Gastroenterol

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Intussusception is defined as telescoping of the proximal bowel (intussusceptum) into the lumen of the distal bowel, otherwise called the intussuscipiens. While it is one of the most common causes of intestinal obstruction in children between the ages of 3 months and 6 years, intussusception accounts for about 1% of such cases in adults. Intussusception is idiopathic in 8-20% of patients and most commonly occurs in the small intestines in adults. We describe the unique case of a colo-colonic intussusception in a 54-year-old female patient 1 week after a colonoscopy for suspected inflammatory bowel disease. The discussion focuses on the presentation and management options of intussusception.

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“…The literature review revealed that only 8 cases, including the present case, have been reported to date. The first case was reported in 2000 by Yamazaki et al; other cases are mentioned in Table 1 [6-12]. The age of presentation ranged from 19 to 73 years, with a male predominance of 5:2.…”

Section: Discussionmentioning

confidence: 99%

Intussusception after Colonoscopy: A Case Report and Review of Literature

Hassan

Teoh

2018

Clin Endosc

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Intussusception after colonoscopy is an unusual complication. A MEDLINE search revealed only 7 reported cases. We present a report of a 28-year-old man who developed abdominal pain several hours after routine colonoscopy and in whom computed tomography (CT) revealed colocolic intussusception. We postulate that this condition is iatrogenic and induced by suctioning of gas on withdrawal of the colonoscope. A common observation among the reported cases was abdominal pain several hours after colonoscopy and right-sided intussusception. All cases had colonoscopy reaching the right side of the colon. Treatment for adult intussusception remains controversial with regard to reduction versus resection, especially given the high association with a pathological cause and malignancy. Among the 8 reported cases, only the current case did not require surgery. A combination of benign colonoscopy, CT, and the clinical picture should provide sufficient information to initially choose a more conservative treatment approach.

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Intussusception after Routine Colonoscopy: A Rare Complication

Cited by 13 publications

References 13 publications

Cecal Intussusception Diagnosed by Total Colonoscopy in a Child: A Case Report

Cecal Intussusception Diagnosed by Total Colonoscopy in a Child: A Case Report

Early Postendoscopic Transverse Colo-Colonic Intussusception

Intussusception after Colonoscopy: A Case Report and Review of Literature

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