Open AccessEndoscopic treatment of a large colonic polyp as a cause of colocolonic intussusception in a child
Author(s) -
Nutnicha Suksamanapun,
Mongkol Uiprasertkul,
Ravit Ruangtrakool,
Thawatchai Akaraviputh
Publication year - 2010
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v2.i7.268
Subject(s) - medicine , intussusception (medical disorder) , colonoscopy , barium enema , diverticulum (mollusc) , polypectomy , transverse colon , gastroenterology , bowel obstruction , surgery , colorectal cancer , cancer
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.