Trans-anal protrusion of intussusception

Elias Mburu; Walter Akello; Winfred Kimani; P.W. Saula; R.T. Kuremu

Journal of Pediatric Surgery Case Reports (Apr 2020)

Trans-anal protrusion of intussusception

Elias Mburu,
Walter Akello,
Winfred Kimani,
P.W. Saula,
R.T. Kuremu

Affiliations

Elias Mburu: Department of General Surgery and Anesthesiology, Moi University, School of Medicine, Eldoret, Kenya; Corresponding author.
Walter Akello: Department of General Surgery and Anesthesiology, Moi University, School of Medicine, Eldoret, Kenya
Winfred Kimani: Department of General Surgery and Anesthesiology, Moi University, School of Medicine, Eldoret, Kenya
P.W. Saula: Department of General Surgery and Anaesthesiology, Moi University, School of Medicine, Eldoret, Kenya
R.T. Kuremu: Department of General Surgery and Anaesthesiology, Moi University, School of Medicine, Eldoret, Kenya

Journal volume & issue: Vol. 55

Abstract

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Intussusception is a common cause of intestinal obstruction in infants and toddlers. Uncommon presentation with a mass protruding from the anus is often misdiagnosed as rectal prolapse when a high index of suspicion is not maintained, with the likelihood of worse outcomes. We report the successful management of an 8 month old infant with prolapsed ileo-colic intussusception at the Moi Teaching and Referral Hospital (MTRH) which had been mistaken for rectal prolapse. We discuss how to differentiate trans-anal protrusion of intussusception (TAPI) from other prolapsing conditions and highlight the common challenges encountered in managing an infant with delayed presentation. Keywords: Intussusception, Rectal prolapse, Trans-anal protrusion of intussusception (TAPI)

Published in Journal of Pediatric Surgery Case Reports

ISSN: 2213-5766 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Pediatrics; Medicine: Surgery
Website: https://www.journals.elsevier.com/journal-of-pediatric-surgery-case-reports/

About the journal