Rare Presentation of Total Ileocolic Intussusception with Rectal Prolapse in a Child

Saran Lotfollahzadeh, Khashayar Atqiaee, Leily Mohajerzadeh, Maryam Panahi, Armin Vosoughi and Mohsen Rouzrokh

Pediatric Surgery Research Center, Pediatric Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Iran Neurosciences Research Center, Tabriz University of Medical Sciences, Iran

^*Correspondance to: Mohsen Rouzrokh 

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Abstract:

Introduction: Intussusception is one the most frequent causes of acute bowel obstruction in infants and toddlers. It can be seen in all pediatric ages from prenatal to the late teens but tends to happen as small bowel obstruction, postoperatively. About 15% of infants and children present without any obvious pain. Occasionally, intussusception could be palpated on the rectal exam (5%) and its prolapse out of rectum may be a serious sign. Case
Presentation: We present an 11-year-old boy with rectal prolapse and rectorrhagia, who at first was admitted to the cardiology ward due to cardiac problems, but ended up with surgical exploration and resection of involved bowel.
Conclusion: Although 75% of intussusceptions cases are found within first two years of life, it should be considered in the differential diagnosis list in older children and teens in cases of abdominal pain and obstruction to prevent delayed diagnosis and extensive surgery.

Keywords:

Pediatric Intussusception; Rectal Prolapse; Resection; Rectorrhagia

Cite the Article:

Lotfollahzadeh S, Atqiaee K, Mohajerzadeh L, Panahi M, Vosoughi A, Rouzrokh M. Rare Presentation of Total Ileocolic Intussusception with Rectal Prolapse in a Child. World J Surg Surgical Res. 2019; 2: 1112.