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Case Reports in Surgery
Volume 2013 (2013), Article ID 106831, 3 pages
http://dx.doi.org/10.1155/2013/106831
Case Report

Colocolic Intussusception in an Older Child: A Rare Case Report and a Literature Review

Department of General Surgery, Vardhman Mahavir Medical College, Safdarjung Hospital, Ansari Nagar, New Delhi 110029, India

Received 28 December 2012; Accepted 4 February 2013

Academic Editors: D. J. Bentrem, C. Foroulis, and H. Kawai

Copyright © 2013 Anupam Das et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Intussusception is a common cause of intestinal obstruction and colicky abdominal pain in the children, particularly infants, the commonest being the ileocolic variety with colocolic variety being a very rare entity. We present a case of colocolic intussusception in a 13-year-old boy which is otherwise seen in adults, precipitated by colonic malignancies. The patient presented with acute abdominal pain and bleeding perrectum with obstipation for 7 days. Preoperative USG abdomen was normal, and abdominal X-rays showed multiple air fluid levels. Intraoperative findings included a polypoidal growth in the descending colon as the leading point with the formation of a colo-colic intussusception. Following reduction and segmental resection, histopathology reported mucinous adenocarcinoma of colon which is also a rarity in pediatric age group. This case has been compared with previous cases reported in the literature.