Pyloroduodenal intussusception due to diffuse juvenile polyposis in a 3 year-old child: case report

Background. Pyloroduodenal intussusception (PDI) due to gastric and pyloric polyps is very rare and has not been reported previously in children. Case. A 3 year-old boy was admitted with non-bilious vomiting and abdominal distention. Abdominal X-ray showed gastric air-fluid level and ultrasonography showed 5 cm intussusception at right upper quadrant. Upper gastrointestinal study showed gastric outlet obstruction. Multiple polyps at stomach and pylorus were detected in endoscopy. The explorative laparotomy revealed polyps originating from pylorus passing to duodenum and causing PDI. The polyps were excised to reduce the intussusception via duodenotomy.Conclusion. PDI and pyloric polyps should be kept in mind in cases with radiological examinations revealing gastric outlet obstruction.

___

1. Mestre JR. The changing pattern of juvenile polyps. Am J Gastroenterol 1986; 81: 312-314.

2. Cobum MC, Pricolo VE, DeLuca FG, Bland KI. Malignant potential in intestinal juvenile polyposis syndromes. Ann Surg Oncol 1995; 2: 386-391.

3. Yalcin S, Ciftci AO, Karaagaoglu E, Tanyel FC, Şenocak ME. Presenting clinical features and outcome in intussusception. Indian J Pediatr 2009; 76: 401-405.

4. Navarro O, Deneman A. Intussusception Part 3: diagnosis and management of those with an identifiable or predisposing cause and those that reduce spontaneously. Pediatr Radiol 2004; 34: 305- 312.

5. Behrens S, Obando J, Blazer III DG. Gastric intussusception secondary to fundic gland polyposis. J Gastraintest Surg 2019; 23: 1073-1074.

6. Behrooz A, Cleasby M. Gastrogastric intussusception in adults: a case report with review of the literature. BJR Case Rep 2018; 4: 20180006.

7. Rittenhause DW, Lim PW, Shirley LA, Chonjnacki KA. Gastrodueodenal intussusception of a gastrointestinal stromal tumor (GIST): case report and review of the literature. Surg Laparosc Endosc Percutan Tech 2013; 23: e70-e73.
Turkish Journal of Pediatrics-Cover
  • ISSN: 0041-4301
  • Yayın Aralığı: 6
  • Başlangıç: 1958
  • Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü
Sayıdaki Diğer Makaleler

Retrospective evaluation of childhood paraphenylenediamine intoxication due to black henna

Elif GÜDELOĞLU, Barış ERDUR

Zinc deficiency and febrile seizure: a systematic review and meta-analysis

Farhad HEYDARIAN, Alireza Ataei NAKHAEI, Hasan Mehrad MAJD, Elham BAKHTIARI

Corneal endothelial morphology and anterior segment parameters in children with type 1 diabetes mellitus

Alper BAYAT, Şeyma ÖZTURAN, Akin CAKİR, Selim BÖLÜKBASİ, Burak ERDEN, Diğdem BEZEN, Mustafa ELCİOĞLU

Eczema herpeticum emerging during atopic dermatitis in infancy

Ayşegül ERTUĞRUL, Zeynep Şengül EMEKSİZ, Ezgi ULUSOY SEVERCAN, Serap ÖZMEN, İlknur BOSTANCI

Immediate adverse reactions to intravenous immunoglobulin in primary immune deficiencies: a single center experience

Ercan NAIN, AYÇA KIYKIM, Nurhan KASAP, Safa BARIŞ, Ahmet ÖZER, Elif KARAKOÇ AYDINER

Management of pediatric cardiac transplantation candidates with pulmonary hypertension and high pulmonary vascular resistance

Kahraman YAKUT, Birgül VARAN, İlkay ERDOĞAN, Nimet CİNDİK, Mahmut GÖKDEMİR, Ayten GÜMÜŞ, Kürşad TOKEL, Atilla SEZGİN

Low function of natural killer cells in treated classic Menkes disease

Jayalakshmi Narayan BHAT, Paul MAERTENS

Variant ataxia-telangiectasia in a child presenting with laryngeal dystonia

Pınar ARICAN, Nihal OLGAÇ DÜNDAR, Özgür KIRBIYIK, Dilek ÇAVUŞOĞLU, Sema BOZKAYA YILMAZ, Pınar GENÇPINAR

Choroid plexus papilloma in extragonadal teratoma with predominantly neurogenic elements: a case report and review of the literature

İsmail SAYGIN, Emel ÇAKIR, Mustafa Emre ERCİN

Congenital myotonia: a review of twenty cases and a new splice-site mutation in the CLCN1 gene

Nezir ÖZGÜN, Hasan TAŞLIDERE