A rare complication of small bowel intussusception: Report of a case and review of literature

• Main Authors: Impellizzeri Pietro, Borruto Francesca Astra, Montalto Angela Simona, Romeo Carmelo
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2013-01-01
• Series: African Journal of Paediatric Surgery
• Subjects: Children; hamartomatous polyp; intussusception; volvulus
• Online Access: http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2013;volume=10;issue=4;spage=381;epage=383;aulast=Pietro

Volvulus and intussusception are rare conditions in children. We describe an unusual case of intussusception due to a solitary Peutz-Jeghers type hamartomatous polyp complicated by volvulus, which occurred in an 11-year-old girl. A laparotomy allows to successfully treat the pathology. The postoperative course was favourable. We discuss the clinical findings and the values of the preoperative instrumental diagnosis. The literature is reviewed. Identifying a midgut volvulus, as complication of a small bowel intussusception, during the diagnostic phase could help in choosing the most appropriate surgical approach.