title: Colocolic intussusception in an older child: a rare case report and a literature review.
abstract: Intussusception is a common cause of intestinal obstruction and colicky abdominal pain in the children, particularly infants, the commonest being the ileocolic variety with colocolic variety being a very rare entity. We present a case of colocolic intussusception in a 13-year-old boy which is otherwise seen in adults, precipitated by colonic malignancies. The patient presented with acute abdominal pain and bleeding perrectum with obstipation for 7 days. Preoperative USG abdomen was normal, and abdominal X-rays showed multiple air fluid levels. Intraoperative findings included a polypoidal growth in the descending colon as the leading point with the formation of a colo-colic intussusception. Following reduction and segmental resection, histopathology reported mucinous adenocarcinoma of colon which is also a rarity in pediatric age group. This case has been compared with previous cases reported in the literature.
authors.affiliation: Department of General Surgery, Vardhman Mahavir Medical College, Safdarjung Hospital, Ansari Nagar, New Delhi 110029, India.
authors.forename: Anupam
authors.initials: A
authors.lastname: Das
authors.forename: Lalmalsawma
authors.initials: L
authors.lastname: Ralte
authors.forename: A S
authors.initials: AS
authors.lastname: Chawla
authors.forename: S V
authors.initials: SV
authors.lastname: Arya
authors.forename: Anil
authors.initials: A
authors.lastname: Kumar
authors.forename: Ravi
authors.initials: R
authors.lastname: Saroha
authors.forename: Dheer Singh
authors.initials: DS
authors.lastname: Kalwaniya