Case Report of a Child with Colocolic Intussusception with a Primary Lead Point.

Division

Far West

Hospital

Riverside Community Hospital

Document Type

Case Report

Publication Date

1-31-2024

Keywords

intussusception, lead point, pediatrics

Disciplines

Diagnosis | Digestive System Diseases | Emergency Medicine | Medicine and Health Sciences

Abstract

UNLABELLED: Intussusception is the telescoping of bowel into an adjacent segment of bowel and has an associated risk for bowel ischemia and perforation. The classic triad of abdominal pain, blood in stool, and an abdominal mass is present in less than 40% of pediatric cases and is less common in older children.1 Ultrasound has a high sensitivity and specificity for the diagnosis of intussusception, and once diagnosed, treatment modalities include reduction by either ultrasound or fluoroscopic guided air or hydrostatic enema. The risk of recurrence after successful reduction occurs in up to 12% of pediatric patients and occurs more frequently in older children and children with a pathologic lead point.2 We present a case of a 6-year-old child with colocolic intussusception that was successfully reduced and recurred within five days due to a large colonic polyp.

TOPICS: Intussusception, lead point, pediatrics.

Publisher or Conference

Journal of Education and Teaching in Emergency Medicine

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