{Reference Type}: Case Reports
{Title}: Colocolic intussusception as a rare cause of intestinal obstruction in a preschool child: A case report.
{Author}: Rwomurushaka ES;Lodhia J;
{Journal}: Int J Surg Case Rep
{Volume}: 120
{Issue}: 0
{Year}: 2024 Jul 31
暂无{DOI}: 10.1016/j.ijscr.2024.109841
{Abstract}: <B>UNASSIGNED: </B>Colocolic intussusception occur in less than 5 % of all cases of intussusception. Median age at presentation is 4.4 years. Usually presents with features of intestinal obstruction. Common causes include pathological lead points like juvenile polyps, Meckel's diverticulum and lymphoma. However, rarely occurs without an organic cause as presented in the index case.<BR><B>METHODS: </B>We present a case of colocolic intussusception in a 5-year-old boy with clinical evidence of blood-stained mucoid stools, abdominal distention and post prandial vomiting. CT-scan confirmed the clinical diagnosis. Surgical exploration revealed left-sided colocolic intussusception without a pathological lead point.<BR><B>UNASSIGNED: </B>Most cases of colonic intussusception have a pathological lead point. Clinical features are unspecific but mostly present with intestinal obstruction, hence, a CT-scan aids in establishing the diagnosis.<BR><B>CONCLUSIONS: </B>Colocolic intussusception is a rare subtype of intussusception in the paediatric age group especially in the absence of a pathological lead point. This case report presents a rare case of colocolic intussusception without pathological lead point, highlighting the importance of advanced imaging modalities like CT-scan in establishing the diagnosis and guiding management.