Diffuse juvenile polyposis causing recurrent small bowel intussusception

• Main Authors: Mathys Human, MBChB, Yolisa Hawu, Bsc, MBChB, FCPaedSurg, MMed, Nyaweleni Tshifularo, MBChB, FCS, FCPaedSurg, MMed
• Format: Article
• Language: English
• Published: Elsevier 2020-10-01
• Series: Journal of Pediatric Surgery Case Reports
• Subjects: Recurrent intussusception; Jejunal polyps; Laparoscopy in intussusception
• Online Access: http://www.sciencedirect.com/science/article/pii/S221357662030258X

Intussusception is a common cause of infantile bowel obstruction. The majority of patients (75%) present before the age of 2 years and have no identifiable lead point. A pathological lead point (PLP) causes secondary intussusception, with an incidence of 4–20%. Recurrent intussusception is a well-described post-operative occurrence, with an incidence of 8%. The laparoscopic reduction is becoming an accepted safe modality in the management of intussusception. We present a case of recurrent intussusception post laparoscopic reduction of a jejunoileal intussusception. The operative findings were recurrent intussusception with a rare aetiology of jejunal polyps as pathological lead points.