Introduction: Intussusception is the most frequent cause of intestinal obstruction in infants and children under two years of age. It is an acquired pathology where a proximal segment of the intestine is introduced into a distal segment of the intestine. In those patients over two years of age, the causes are a Pathological Lead Point such as Meckel’s diverticulum followed by polyps and duplications.
Case report: A 14-year-old male with generalized colicky abdominal pain, vomiting of food content on 10 occasions, low-grade fever and absence of bowel movements of 4 days of evolution. Laparotomy was performed due to ileo-ileal intussusception secondary to intes- tinal polyp.
Conclusion: Intussusception in adolescents is unusual and challenging, because it requires a high diagnostic suspicion and adequate diagnostic methods to make a timely referral to the pediatric surgeon, who must be familiar with the different surgical approaches.
Introduction: Intussusception is the most frequent cause of intestinal obstruction in infants and children under two years of age. It is an acquired pathology where a proximal segment of the intestine is introduced into a distal segment of the intestine. In those patients over two years of age, the causes are a Pathological Lead Point such as Meckel’s diverticulum followed by polyps and duplications.
Case report: A 14-year-old male with generalized colicky abdominal pain, vomiting of food content on 10 occasions, low-grade fever and absence of bowel movements of 4 days of evolution. Laparotomy was performed due to ileo-ileal intussusception secondary to intes- tinal polyp.
Conclusion: Intussusception in adolescents is unusual and challenging, because it requires a high diagnostic suspicion and adequate diagnostic methods to make a timely referral to the pediatric surgeon, who must be familiar with the different surgical approaches.
Holocomb III GW, Murphy JP, St. Peter SD. Holcomb y Ashcraft, Cirugía Pediátrica, Wright TN, Fallat ME. Invaginacion intestinal, Capítulo 38, (7ma Ed.), Elsevier, España; 2021. Pp. 621-627.
Esmaeili-Dooki MR, Moslemi L, Hadipoor A, Osia S, Fatemi SA. Pediatric Intussusception in Northern Iran: Comparison of Recurrent With Non-Recurrent Cases. Iran J Pediatr. 2016;26(2):e3898. doi: 10.5812/ijp.3898. PMID: 27307967; PMCID: PMC4904340.
Sankari Tarabishi A, Aljarad Z, Shebli B, Masri AH, Anadani R, Shabouk MB, Trissi M. A rare case of bowel intussusception due to adenocarcinomatous polyp in a 14 year-old child: case report. BMC Surg. 2020;20(1):198. doi: 10.1186/s12893-020-00859-9. PMID: 32917174; PMCID: PMC7488507.
Coran AG, Caldamone A, Scott Adzick N, Krummel TM, Laberge J-M, Shamberger R. Pediatric Surgery E-Book. Elsevier Health Sciences; 2012. Chapter 85, intussusception.
Mazzotta E, Lauricella S, Carannante F, Mascianà G, Caricato M, Capolupo GT. Ileo-ileal intussusception caused by small bowel leiomyosarcoma: A rare case report, International Journal of Surgery Case Reports. 2020;72:52-5, Disponible en: https://doi.org/10.1016/j.ijscr.2020.05.049>.
Rostion A CG. Cirugía Pediátrica [2da ed]. Ibáñez R, Ibáñez C, Rostion CG. Invaginación intestinal. Capítulo 72, Chile. Editorial Mediterráneo; 2014. Pp. 577-578.
Akbulut S. Intussusception due to inflammatory fibroid polyp: a case report and comprehensive literature review. World J Gastroenterol. 2012;18 (40):5745-52. doi: 10.3748/wjg.v18.i40.5745.
Aguirre F, Silva A, Parra P, Salcedo D, López P, Acevedo Y. Intususcepción como causa de obstrucción intestinal en el adulto: un desafío para los cirujanos. Rev Colomb Cir. 2019;34:79-86. Disponible en: https://doi.org/10.30944/20117582.102
Cázares-Méndez JM, Zamudio-Vázquez VP, Gómez-Morales E, OrtizAguirre SG, Cadena-León JF, Toro-Monjaraz EM et al. Pólipos gastrointestinales en pediatría. Acta Pediatr Mex. 2015;36:158-63. Disponible en: www.actapediatrica.org.mx
Fernández-Plaza A, Saiz-Mendiguren R, García-Lallana A, Viteri-Ramírez G, Etxano J, Bondía Gracia JM. Ileo-ileal intussusceptions in a child complainting of abdomnial pain. Clinical Cases. Paediatric radiology. 2012. doi: 10.1594/EURORAD/CASE.10092
Zhao L, Feng S, Wu P, et al. Características clínicas y resultado quirúrgico en niños con invaginación intestinal secundaria a puntos de referencia patológicos: estudio retrospectivo en una sola institución. Pediatr Surg Int. 2019;35:807–11. Disponible en: https://doi.org/10.1007/s00383-019-04471-8
Lin Xk, Xia Qz, Huang Xz, et al. Clinical characteristics of intussusception secondary to pathologic lead points in children: a single-center experience with 65 cases. Pediatr Surg Int. 2017;33:793–7. Disponible en: doi.org/10.1007/s00383-017-4101-8
Cochran W. Trastornos gastrointestinales en recién nacidos y lactantes/ Intususcepción. Manual Merck; 2020. Disponible en: https://www.merckmanuals.com/es-us/hogar/salud-infantil/trastornos-digesti-vos-en-ni%C3%B1os/invaginaci%C3%B3n-intestinal-intususcepci%C3%B3n
Jain S, Haydel MJ. Child Intussusception. 2020 Jul 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan–. PMID: 28613732.
López Marure E. Radiología pediátrica para pediatras. Argentina Journal. 2009:151-2.
Takahashi T, Miyano G, Kayano H, Lane GJ, Arakawa A, Yamataka A. A child with colo-colonic intussusception due to a large colonic polyp: Case report and literature review. Afr J Paediatr Surg [serial online] 2014;11:261-3. Disponible en: https://www.afrjpaedsurg.org/text.asp?2014/11/3/261/137338