A rare form of intestinal invagination in a child

Abstract

Introduction. Intestinal intussusception is the most common type of non-congenital intestinal obstruction and one of the most common nosologies in emergency pediatric surgery. This disease occurs mainly in children of the first year of life and is extremely rare in older age. In children over 3 years of age, intussusception usually has leading points in the form of organic causes: diverticulum, doubling of the intestinal tube, polyps, tumors and others. Material and methods. A child of 7 years old, entered the department of pediatric surgery with acute abdominal pain syndrome, repeated vomiting, the duration of the disease is about 20 hours. The child was operated on urgently basis with a preliminary diagnosis of acute appendicitis. Results. Intraoperative ileocecal invagination with necrosis of the ileum was detected, about which a resection with an anastomosis of the intestine was performed. Histological examination of a remote small intestine revealed the presence of Peutz-Jeghers polyps. After discharge from the surgical department, the child was sent under the supervision of an oncologist and a gastroenterologist. Conclusion This clinical case demonstrates one of the possible causes of intestinal invagination in children older than 1 year. Peutze - Jeghers syndrome is an autosomal dominant condition defined by the development of characteristic polyps throughout the gastrointestinal tract and mucocutaneous pigmentation. Invagination of the intestine is one of the frequent complications of this disease and occurs, as a rule, in older children.