1996 Volume 57 Issue 5 Pages 1179-1183
Childhood intussusception are predominantly ileo-colic intussusception which develops in their childhood and has no correlation to any organic diseases, and colic intussusception is rare. Recentry we experienced such a rare case of colic intussusception.
A 13-year-old boy was seen at the department of pediatrics in our Hospital because of abdominal pain and anal bleeding. After close examination the patient was referred to the department with a diagnosis of intussusception. Since it had passed 5 days after the onset of symptom, we did not employ the Barium enema reposition but laparotomy. On laparotomy a colic intussusception was found in the left side abdomen. Intraoperative colonoscopy revealed a polyp in the lead. Maneuver reposition of the invaginated intestine was done, when it was revealed that the polyp existed at the splenic flexure of the colon which the colon adhered to in a v-shape. It was inferred that intussusception might easily recur, and an ischemic portion with dark-red in color was confirmed in the mucosa near the polyp. So a partial excision of the colon was carried out. Histological study of the excised specimen confirmed juvenile polyp.
