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CURRENT ISSUECHIRURGIA

A Journal on Surgery


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Chirurgia 2000 April;13(2):105-8

language: Italian

Colonic-sigmoidal-rectal intussusception prolapsed through the anus. A case report

Messina M., Ferrucci E., Meucci D., Di Maggio G.


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Intussusception is one of the most frequent causes of bowel obstruction in infants. It rarely involves the descending colon and the rectum; prolapse of the intussusception through the anus is , moreover, an extraordinary event. A case of colonic-sigmoidal-rectal intussusception in an 8-mounth-old infant is reported; he was born seriously premature, at th 25th week of pregnancy. The child was suffering from bilateral bronchopulmonary dysplasia, and during a severe respiratory crisis he developed intussusception prolapsing through the anus. This condition could be resolved only with surgery. Postoperative course was regular. The authors hypothesize a causative role played by respiratory insufficiency on the intussusception and its prolapse through the anus; the respiratory effort could have heightened the sigmoidal-rectal intussusception mechanism which physiologically takes place when abdominal pressure increases.

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