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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.


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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