Intussusception Complicated by Irreducible Gangrenous Coloanal Prolapse: Case Report and Novel Surgical Approach
Abstract
Introduction: Childhood intussusception is a common cause of intestinal obstruction in infants and children. Late presentation may be associated with the intussusceptum protruding through the anus, which may be misdiagnosed as rectal prolapse. Most anal prolapses due to intussusception are reduced at laparotomy when they present early.
Case Reports: Two cases with similar presentations were managed. The first was an 11-month-old boy who was referred from a neighboring health facility as a case of irreducible rectal prolapse. The anal protrusion was noticed about 12hours before presentation at the referring center. The second patient was 7-month-old at presentation. Both were managed successfully with the same surgical approach.
Conclusion: The surgical approach used in the management of these two cases will be beneficial, especially when the conventional method fails.
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