Colocolic Intussusception in an Older Child : A Rare Case Report and a Literature Review

الملخص EN

Intussusception is a common cause of intestinal obstruction and colicky abdominal pain in the children, particularly infants, the commonest being the ileocolic variety with colocolic variety being a very rare entity.

We present a case of colocolic intussusception in a 13-year-old boy which is otherwise seen in adults, precipitated by colonic malignancies.

The patient presented with acute abdominal pain and bleeding perrectum with obstipation for 7 days.

Preoperative USG abdomen was normal, and abdominal X-rays showed multiple air fluid levels.

Intraoperative findings included a polypoidal growth in the descending colon as the leading point with the formation of a colo-colic intussusception.

Following reduction and segmental resection, histopathology reported mucinous adenocarcinoma of colon which is also a rarity in pediatric age group.

This case has been compared with previous cases reported in the literature.