Prolapsed ileocolic intussusception

Purpose This study aimed at presenting our experience with cases of prolapsed intussusception and discussing the line of treatment and the morbidity and mortality. Patients and methods Nine infants aged from 5 to 10 months were diagnosed as prolapsed intussusceptions by clinical examination. All of them were treated by abdominal exploration through a right transverse supraumbilical incision. Results The mean operative time was 65 min. The intussusceptum was viable in five cases and was gangrenous in four cases. There was ischemic perforation in the colon in two cases. Resection and anastomosis were performed in six cases, sigmoid colostomy was performed in one case, and reduction by milking without resection was performed in three cases. All the patients recovered well. Conclusion Prolapsed intussusception is a rare presentation of intussusceptions; its diagnosis is easy but may be misdiagnosed as rectal prolapse. Its only treatment is surgery and it carries a good prognosis. (C) 2011 Annals of Pediatric Surgery