Endoscopic treatment of a large colonic polyp as a cause of colocolonic intussusception in a child

• 作 者: Nutnicha Suksamanapun Mongkol Uiprasertkul Ravit Ruangtrakool Thawatchai Akaraviputh
• 机 构: Division of Pediatric Surgery,Department of Surgery,Faculty of Medicine Siriraj Hospital,Mahidol Uni
• 出 处: World Journal of Gastrointestinal Endoscopy
• 发表日期: 2010年07期
• 关键词: polyp colonic obstruction enema pediatric barium removed pathologic children dup

Colocolonic intussusception is an uncommon cause of intestinal obstruction in children.The most common type is idiopathic ileocolic intussusception.However,pathologic lead points occur approximately in 5%of cases.In pediatric patients,Meckel’s diverticulum is the most common lead point,followed by polyps and duplication.We present a case of recurrent colocolonic intussusception which caused colonic obstruction in a 10-year-old boy.A barium enema revealed a large polypoid mass at the transverse colon.Colonoscopy showed a colonic polyp,3.5 centimeters in diameter,which was successfully removed by endoscopic polypectomy.

Colocolonic intussusception is an uncommon cause of intestinal obstruction in children. The most common type is idiopathic ileocolic intussusception. Despite, pathologic lead points occur approximately 5% of cases. In pediatric patients, Meckel’s diverticulum is the most common lead point, followed by polyps and duplication. We present a case of recurrent colocolonic intussusception which caused colonic obstruction in a 10-year-old boy. A barium enema revealed a large polypoid mass at the transverse colon. Colonoscopy showed a colonic polyp, 3.5 centimeters in diameter, which was successfully removed by endoscopic polypectomy.