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Case 326: INTUSSUSCEPTION of COLON INDUCED by POLYP, Dr LÊ TỰ PHÚC

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A case of colonic intussusception due to a tubular polyp in a 4 yo male patient.

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Case 326: INTUSSUSCEPTION of COLON INDUCED by POLYP, Dr LÊ TỰ PHÚC

  1. 1. CASE 326: INTUSSUSCEPTION of COLON INDUCED by POLYP,Dr LÊ TỰ PHÚC, MEDIC MEDICAL CENTER, HCMC, VIETNAM A 4 years-oldboypresentedtoMedicCenterwithone year history of weakness, fatigue, lethargy, pale skin and less active. No recognition of other symptoms such as vomiting, abdominal pain or bloody stools. Patient was done blood test and abdominal ultrasound. Abdominal ultrasounddetectedcolo-colonicintussusceptioninthe rightupperquadrantwithconcentric ringssignin transverse scanand "hay fork" sign in long axis scan. Located adjacent the intussusception showan isoechoictohypoechoicsolidmass,well definedoval,30mm in diameter,hypervascular in the hilusof the mass. Those blood vessels were continuing with the blood vessels from central portion of the intussusception. Sonologist suspected a intussusception of the ascending colon secondary to a polyp. Laboratory investigations showed the reduction of Hemoglobin: 6.5 g / dl. The patient was transferred to the hospital Nhi Dong 2. He had positive fecal occult blood test. Colonoscopy showed a polyp of ascending colon.
  2. 2. A surgery was then obtained 2 weeks later.
  3. 3. Surgical results confirmed polyp of the ascending colon which pathology result is tubular polyp.

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