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World J Gastrointest Endosc. Jul 16, 2010; 2(7): 268-270
Published online Jul 16, 2010. doi: 10.4253/wjge.v2.i7.268
Published online Jul 16, 2010. doi: 10.4253/wjge.v2.i7.268
Endoscopic treatment of a large colonic polyp as a cause of colocolonic intussusception in a child
Nutnicha Suksamanapun, Ravit Ruangtrakool, Division of Pediatric Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
Mongkol Uiprasertkul, Department of Pathology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
Thawatchai Akaraviputh, Minimally Invasive Surgery Center, Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
Author contributions: Suksamanapun N originated the idea and drafted the manuscript; Ruangtrakool R collected the data; Uiprasertkul M wrote a portion of the manuscript; and Akaraviputh T critically reviewed and edited the manuscript.
Supported by Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
Correspondence to: Thawatchai Akaraviputh, MD, Minimally Invasive Surgery Center, Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. sitak@mahidol.ac.th
Telephone: +66-2-4198006 Fax: +66-2-4121370
Received: February 24, 2010
Revised: June 26, 2010
Accepted: July 3, 2010
Published online: July 16, 2010
Revised: June 26, 2010
Accepted: July 3, 2010
Published online: July 16, 2010
Abstract
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.