Pediatric Gastroenterology and Hepatology Research Center, Zabol University of Medical Sciences, Zabol, Iran.
Amir-Al-Momenon Hospital, Zabol, Iran.
Wien Med Wochenschr. 2022 Oct;172(13-14):322-326. doi: 10.1007/s10354-022-00915-4. Epub 2022 Feb 15.
Transanal protrusion of intussusception (TAPI; also known as prolapsed intussusception) is a rare complication. Here, we present a successful colonoscopic reduction of ileocolic intussusception presented with transanal prolapse. An 8‑month male child, weighing 8 kg, was referred to our hospital presenting with a mass in his anal canal, diarrhea and rectal bleeding for two days. The sonographic evaluation revealed an ileocolic intussusception in the rectosigmoid area. The patient was treated using colonoscopic reduction. To our knowledge, this is the first study reporting colonoscopic reduction for transanal prolapsed intussusceptions. Our study suggests gastroenterologists to consider colonoscopy as a therapeutic method for prolapsed intussusceptions and encourages them to attempt reducing the invagination using this method before laparotomy, especially in cases presenting within 48 h of onset of symptoms and no peritonitis symptoms.
经肛门肠套叠突出(TAPI;也称为脱垂性肠套叠)是一种罕见的并发症。在这里,我们报告了一例成功的经肛门肠套叠突出的结肠镜复位。一名 8 月龄、体重 8kg 的男性患儿因肛门内有肿块、腹泻和直肠出血 2 天而被转至我院。超声评估显示直肠乙状结肠区域存在回结型肠套叠。患者接受了结肠镜复位治疗。据我们所知,这是首例报道经肛门肠套叠突出的结肠镜复位的研究。我们的研究表明,胃肠病学家应将结肠镜检查作为治疗脱垂性肠套叠的一种方法,并鼓励他们在剖腹手术前尝试使用这种方法来复位肠套叠,特别是在症状发作后 48 小时内且没有腹膜炎症状的情况下。