Diffuse juvenile polyposis causing recurrent small bowel intussusception

Abstract

Intussusception is a common cause of infantile bowel obstruction. The majority of patients (75%) present before the age of 2 years and have no identifiable lead point. A pathological lead point (PLP) causes secondary intussusception, with an incidence of 4–20%. Recurrent intussusception is a well-described post-operative occurrence, with an incidence of 8%. The laparoscopic reduction is becoming an accepted safe modality in the management of intussusception. We present a case of recurrent intussusception post laparoscopic reduction of a jejunoileal intussusception. The operative findings were recurrent intussusception with a rare aetiology of jejunal polyps as pathological lead points.

Keywords

• Recurrent intussusception
• Jejunal polyps
• Laparoscopy in intussusception