Intussusception Complicated by Irreducible Gangrenous Coloanal Prolapse: Case Report and Novel Surgical Approach

Authors

  • Timothy Adewale Olajide 1. Department of Surgery Federal Teaching Hospital Ido-Ekiti/Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
  • Shuaib Kayode Aremu Department of ENT,Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria. https://orcid.org/0000-0002-0165-6867
  • Collins Chijioke Adumah Paediatric surgery unit,Surgery department Obafemi Awolowo University Teaching Hospital ComplexIle IfeOsun StateNigeria
  • Chijoke Cosmas Achebe Radiology Department, Federal Teaching Hospital Ido-Ekiti / Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria.
  • Wasiu Adegbenga Ajetunmobi Pediatrics Department, Federal Teaching Hospital Ido-Ekiti/Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria

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.

References

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Published

31-12-2023

How to Cite

Olajide, T. A., Aremu, S. K., Adumah, C. C., Achebe, C. C., & Ajetunmobi , W. A. (2023). Intussusception Complicated by Irreducible Gangrenous Coloanal Prolapse: Case Report and Novel Surgical Approach. Western Nigeria Journal of Medical Sciences, 6(2), 195–198. Retrieved from https://wnjms.com.ng/journal/index.php/wnjms/article/view/150