Transanal and intraperitoneal prolapse in intussusception

Yadav, Krishna Kumar; Mehta, Manish R.; Endeley, E M; Patel, Ramnik V

doi:10.1111/j.1440-1754.1990.tb02396.x

Cited by 5 publications

(2 citation statements)

References 3 publications

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“…There is an association of Hirschsprung disease or its variants in the colon distal to the site of perforation due to delay of craniocaudal migration of ganglion cells, and apparently these patients may not have overt symptoms and may look deceptively healthy. It is therefore suggested that all cases of pediatric colonic perforations should be biopsied from distal part of the colon as well as rectum to rule out Hirschsprung disease or its variants as an associated anomaly [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous rectosigmoid perforation at the watershed area of the Sudeck point in an apparently healthy toddler boy: a case report

Solomon,

Habte,

Alemu

et al. 2023

J Med Case Reports

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Background Spontaneous colon perforation can be classified into stercoral and idiopathic. Stercoral type is associated with chronic constipation, thus it is rare in infants and children. The idiopathic type is sporadic and could occur at any age. Delay in diagnosing or treating idiopathic colon perforation is associated with high mortality and morbidity rates. There are few studies on rectal perforation related to other etiologies or past the neonatal period, and their effect on disease onset and prognosis are unknown. Case presentation We report on a case of 2-year-and-5-month-old Oromo boy who presented with fever, diarrhea, vomiting, and progressive abdominal pain of 5-day duration. The boy underwent an exploratory laparotomy for suspected peritonitis and there was a single perforation of approximately 2.0 cm size in the anterior part of the upper one-third of rectum. The perforated rectum was repaired primarily and sigmoid divided diversion colostomy was carried out. Conclusion It is important to be aware of idiopathic colon perforation in children, a rare but dangerous condition with high mortality and morbidity in cases of delayed diagnosis or management. Pediatricians and surgeons should consider colon perforation as a cause in children who present with abdominal distention and a history of diarrhea for more than 5 days.

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Section: Discussionmentioning

confidence: 99%

Spontaneous rectosigmoid perforation at the watershed area of the Sudeck point in an apparently healthy toddler boy: a case report

Solomon,

Habte,

Alemu

et al. 2023

J Med Case Reports

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“…The pathophysiology of antimesenteric perforation in our case can be explained by the fact that isolated terminal ileal stricture development has caused chronic distention of ileum immediate proximal to the stricture. Marginal artery of the colon gives long and short terminal branches to the and their anastomoses across the antimesenteric are meagre, constituting a zone of relative ischemia, making this site of perforation during massive distention and associated inflammation at the borders of the Payer's patches [7,8]. Most likely site for perforation would be where the anastomoses of the marginal artery are least effective (Figure 4B).…”

Section: Discussionmentioning

confidence: 99%

Hypoganglionosis and Isolated Crohn’s Disease of the Terminal Ileum Presenting with Perforation Mimicking Appendicular Mass in a 72-Year-Old Asian Lady

Govani,

Zaparackaite,

Jit Singh

et al. 2023

SciBase Crit Care Emerg Med

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A very unusual and interesting case of a 72-year-old Indian female with a background of chronic constipation since early infancy presented in emergency critical condition with acute perforative peritonitis and right lower quadrant fullness, guarding and tenderness. Laboratory studies showed high inflammatory markers and provisional diagnosis of walled off appendicular perforation was made. Radiographs and multi scanner computed tomography (MSCT) was found to have pneumoperitoneum secondary to the terminal ileal stricture with perforation. The patient underwent emergency exploratory laparotomy following initial resuscitation, resection and anastomosis of the ileal stricture, peritoneal toilet and extramucosal biopsies of rectosigmoid colon were performed. Histopathology confirmed isolated Crohn’s disease of terminal ileum with stricture and associated hypoganglionosis. Subsequent colonoscopy and biopsies showed no active Crohn’s disease but had nonspecific colitis of the left colon due to associated hypoganglionosis. The postoperative period was uneventful. The patient is doing well at follow up with conservative management of the hypoganglionosis with laxatives, dietary changes, life style modifications and dietary supplements.

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