Sokolov YuYu*, Stonogin SV, Dzyadchik AV, Shulzhenko MD, Koshurnikova AS, Sedova MR, Tashirova EA and Allakhverdiev Israil Sadraddinovich
Russian Medical Academy of Continuing Professional Education and Z.A. Bashlyaeva City Children's Hospital State Budgetary Healthcare Institution, Moscow Healthcare Department, Moscow, Russia
*Corresponding Author: Sokolov YuYu, Russian Medical Academy of Continuing Professional Education and Z.A. Bashlyaeva City Children's Hospital State Budgetary Healthcare Institution, Moscow Healthcare Department, Moscow, Russia.
Received: July 05, 2023; Published: August 08, 2023
Background: Modernization of diagnostic methods and timely elimination of organic causes of relapsing intestinal intussusceptions in children aged 1 year or older is a current issue of pediatric surgery and gastroenterology. The interdisciplinary approach for the diagnosis of this pathology is effective in children.
Objective: Demonstration of modern diagnostic methods and treatment in a 3-year-old girl with a solitary juvenile ileal polyp, relapsing intestinal intussusception — for the first time with the use of video capsule small intestine endoscopy and laparoscopy-assisted polypectomy in the small intestine.
Materials and Methods: A 3-year-old girl was hospitalized multiple times with the clinical signs of intestinal intussusception. The child had been earlier thoroughly examined in the multidisciplinary inpatient department, including esophagogastroduodenoscopy with biopsy, colonoileoscopy with biopsy, contrast-enhanced MRI — no causes of relapsing intussusception had been detected. During the latest hospitalization in the surgical department, a small intestinal polyp was suspected after reducing the small-large bowel intussusception with the conservative method and repeated US study; the video capsule small intestinal endoscopy was conducted for the first time, which confirmed the diagnosis of a small intestinal polyp. The ileal polyp was removed using a laparoscopy-assisted approach.
Conclusions: The video capsule small intestinal endoscopy should be used to diagnose juvenile small intestinal polyps along with the US study. The laparoscopy-assisted method of ileal polyp removal is efficient.
Keywords: Relapsing Intestinal Intussusception; Children; Laparoscopy; Solitary Juvenile Ileal Polyp; Video Capsule Small Intestinal Endoscopy
Citation: Sokolov YuYu., et al. “Relapsing Intestinal Intussusception in a 3-year-old Girl with an Ileal Polyp". Acta Scientific Gastrointestinal Disorders 6.9 (2023): 14-19.
Copyright: © 2023 Sokolov YuYu., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.