Endoscopic management of failed enema reduction in children with intussusception by ileocecal lymphoma: A case report

Abstract

Background

Intussusception is a common gastrointestinal emergency in children. Pneumatic or hydrostatic reduction is a preffered non-operative method with a high success rate, but in the cases of failed enema reduction, surgical intervention will be required. Endoscopic management has been extensively investigated as a treatment method for various digestive diseases, but reports of endoscopic reduction in intussusception are still scant.

Case summary

Two teenagers with recurrent abdominal pain were diagnosed with ileocecal intussusception, and malignant lead points were suspicious in CT scans. Since pneumatic reduction had been repeated up to three times without success, we performed reduction using endoscopy. Both patients were treated successfully and diagnosed with lymphoma by endoscopic biopsy. Lymphoma resolved after chemotherapy, and intussusception had not recurred during the follow-up.

Conclusion

We report the experience of endoscopic management of ileocecal intussusception, which conventional reduction failed to treat.