Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Research Article Volume 6 Issue 9

Relapsing Intestinal Intussusception in a 3-year-old Girl with an Ileal Polyp

Sokolov YuYu*, Stonogin SV, Dzyadchik AV, Shulzhenko MD, Koshurnikova AS, Sedova MR, Tashirova EA and Allakhverdiev Israil Sadraddinovich

Russian Medical Academy of Continuing Professional Education and Z.A. Bashlyaeva City Children's Hospital State Budgetary Healthcare Institution, Moscow Healthcare Department, Moscow, Russia

*Corresponding Author: Sokolov YuYu, Russian Medical Academy of Continuing Professional Education and Z.A. Bashlyaeva City Children's Hospital State Budgetary Healthcare Institution, Moscow Healthcare Department, Moscow, Russia.

Received: July 05, 2023; Published: August 08, 2023

Abstract

Background: Modernization of diagnostic methods and timely elimination of organic causes of relapsing intestinal intussusceptions in children aged 1 year or older is a current issue of pediatric surgery and gastroenterology. The interdisciplinary approach for the diagnosis of this pathology is effective in children.

Objective: Demonstration of modern diagnostic methods and treatment in a 3-year-old girl with a solitary juvenile ileal polyp, relapsing intestinal intussusception — for the first time with the use of video capsule small intestine endoscopy and laparoscopy-assisted polypectomy in the small intestine.

Materials and Methods: A 3-year-old girl was hospitalized multiple times with the clinical signs of intestinal intussusception. The child had been earlier thoroughly examined in the multidisciplinary inpatient department, including esophagogastroduodenoscopy with biopsy, colonoileoscopy with biopsy, contrast-enhanced MRI — no causes of relapsing intussusception had been detected. During the latest hospitalization in the surgical department, a small intestinal polyp was suspected after reducing the small-large bowel intussusception with the conservative method and repeated US study; the video capsule small intestinal endoscopy was conducted for the first time, which confirmed the diagnosis of a small intestinal polyp. The ileal polyp was removed using a laparoscopy-assisted approach.

Conclusions: The video capsule small intestinal endoscopy should be used to diagnose juvenile small intestinal polyps along with the US study. The laparoscopy-assisted method of ileal polyp removal is efficient.

 Keywords: Relapsing Intestinal Intussusception; Children; Laparoscopy; Solitary Juvenile Ileal Polyp; Video Capsule Small Intestinal Endoscopy

References

  1. Karaseva NA., et al. “First Experience of Hydrostatic Reduction of Intussusception in Children”. Russian Bulletin of Pediatric Surgery, Anesthesiology, and Reanimatology 4 (2014): 115-120.
  2. Kodikara H., et al. “Ten-year review of intussusception at Starship Hospital: 1998–2007”. The New Zealand Medical Journal 123 (2010): 32-40.
  3. Rajendra K. “Giant Solitary Ileal Polyp Presenting as an Intussusception in a 10-year-old Boy”. The Malaysian Journal of Medical Sciences3 (2014): 81-84.
  4. Kwon KB., et al. “A Case of Jejunal Juvenile Polyp Presented as Intussusception”. Korean Journal of Pediatrics 48 (2005): 453-456.
  5. Ceccanti S., et al. “Laparoscopic-assisted Resection of Juvenile Polyp of the Jejunum in a 3-year-old Girl”. Journal of Pediatric Surgery 47 (2012): 426-429.
  6. Belyaev MK., et al. “Intestinal Intussusception in Children: Expansion of Indications to Conservative Treatment”. Saint Petersburg, Speclit (2023).
  7. Podkamenev VV and Rozinov VM. “Intestinal Intussusception in Children”. Moscow. Geotar-Media, (2022).
  8. Krasaelap A., et al. “Endoscopic Removal of a Single, Painless, Juvenile Polyp in the Small Intestine Causing Anemia”. Journal of Pediatric Gastroenterology and Nutrition4 (2020): 491-493.
  9. Sah SP., et al. “Juvenile Polyps in the Small Intestine Presenting as Jejunojejunal Intussusception in a 10-year-old Child: Report of a Case”. Surgery Today 32 (2002): 828-830.

Citation

Citation: Sokolov YuYu., et al. “Relapsing Intestinal Intussusception in a 3-year-old Girl with an Ileal Polyp". Acta Scientific Gastrointestinal Disorders 6.9 (2023): 14-19.

Copyright

Copyright: © 2023 Sokolov YuYu., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days

Indexed In




News and Events


Contact US