Journal of Gastroenterology Hepatology and Digestive Disorders
- ISSN: 2578-5494
N Leonidas, M Omid, M Helle, E Ravel, S Mansour, Y Issoufou, A Diori and A habibou
Chronic intussusception is rare in childhood, symptoms are variable and persist more than 2 weeks. The classical triad of abdominal pain, vomiting, and bloody stool is absent. Here we present an 11-month-old boy with recurrent abdominal pain, vomiting and weight loss, with an evolution of more than 2 months. Ultrasound confirm an intussusception. A laparotomy was performed, which showed an irreducible intussusception by Hutchinson reduction maneuver. Due to laborious tight fibrous adhesions. Strictures resection was performed to complete reduction. There was no intestinal perforation. The final diagnosis was an ileocolic chronic intussusception due probably to the freely mobile ileocecal junction. The patient had an uneventfully recovery and gained 3 kg three months post operatively. In the literature we found that malignancy is the main cause of chronic intussusception in children as proven in adults.