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Prolapsed intussusception in children: a report of 4 cases
Abstract
Background: Prolapsed intussusception is defined the invagination of an intestinal segment into the adjacent segment to it, with exteriorization of the head intussusception through the anus.
Patients and Methods: Four children were diagnosed in the Emergency Unit of “Hôpital Aristide Le Dantec” of Dakar.
Results: The average time of presentation to hospital was 45 days (21 days - 95 days). On digital rectal examination, a sulcus was felt between the rectal wall and the protruding mass. The diagnosis of intussusception was made on clinical basis. All children had surgery through a large abdominal incision. Findings were that of ileo-anal intussusception, the presence of a long mesentery and a failure of fixation of the right colon. A wide bowel resection plus enterostomy in two patients and a simple reduction with appendectomy also in two patients were performed. One patient died 2 days following a wide bowel resection.
Conclusion: Prolapsed intussusception should not be confused with, but should always be considered as a differential diagnosis of, rectal prolapse.
Keywords: prolapsed intussusception, children
African Journal of Paediatric Surgery Vol. 2(1) 2005: 17-19
Patients and Methods: Four children were diagnosed in the Emergency Unit of “Hôpital Aristide Le Dantec” of Dakar.
Results: The average time of presentation to hospital was 45 days (21 days - 95 days). On digital rectal examination, a sulcus was felt between the rectal wall and the protruding mass. The diagnosis of intussusception was made on clinical basis. All children had surgery through a large abdominal incision. Findings were that of ileo-anal intussusception, the presence of a long mesentery and a failure of fixation of the right colon. A wide bowel resection plus enterostomy in two patients and a simple reduction with appendectomy also in two patients were performed. One patient died 2 days following a wide bowel resection.
Conclusion: Prolapsed intussusception should not be confused with, but should always be considered as a differential diagnosis of, rectal prolapse.
Keywords: prolapsed intussusception, children
African Journal of Paediatric Surgery Vol. 2(1) 2005: 17-19
