Colonoscopic reduction of a transanal prolapsed ileocolic intussusception

Springer Science and Business Media LLC - Tập 172 - Trang 322-326 - 2022
Iraj Shahramian1, Fateme Parooie1,2, Seyed Ali Mirabbasi1, Morteza Salarzaei1
1Pediatric Gastroenterology and Hepatology Research Center, Zabol University of Medical Sciences, Zabol, Iran
2Amir-Al-Momenon Hospital, Zabol, Iran

Tóm tắt

Transanal protrusion of intussusception (TAPI; also known as prolapsed intussusception) is a rare complication. Here, we present a successful colonoscopic reduction of ileocolic intussusception presented with transanal prolapse. An 8‑month male child, weighing 8 kg, was referred to our hospital presenting with a mass in his anal canal, diarrhea and rectal bleeding for two days. The sonographic evaluation revealed an ileocolic intussusception in the rectosigmoid area. The patient was treated using colonoscopic reduction. To our knowledge, this is the first study reporting colonoscopic reduction for transanal prolapsed intussusceptions. Our study suggests gastroenterologists to consider colonoscopy as a therapeutic method for prolapsed intussusceptions and encourages them to attempt reducing the invagination using this method before laparotomy, especially in cases presenting within 48 h of onset of symptoms and no peritonitis symptoms.

Tài liệu tham khảo

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