All issues > Volume 48(4); 2005

Case Report

Korean J Pediatr. 2005;48(4):453-456. Published online April 15, 2005.

A Case of Jejunal Juvenile Polyp Presented as Intussusception

Ki Beom KB Kwon¹, Mee Yong MY Shin¹, Kye Won KW Kwon², Jae Ock JO Park¹

¹Department of Pediatrics, College of Medicine, Soonchunhyang University, Bucheon, Korea
²Department of Pathology, College of Medicine, Soonchunhyang University, Bucheon, Korea

Correspondence Jae Ock JO Park ,Email: jop50@schbc.ac.kr

Abstract

Single or scattered sequential hamartomatous juvenile polyps are common in the large intestine, especially the rectosigmoid area, where they are usually nonfamilial. Juvenile polyps arising in the small inestine are very rare. Juvenile polyps are usually found in children aged between 1 and 10 years, the majority of cases are between 2 and 4 years of age. Bleeding is the most common symptom, but some children may suffer from autoamputation or prolapse through the anus, and rare cases are presented as intussusception. Approximately six cases of juvenile polyps in the small bowel have been reported. Jejunal intussusception arising from juvenile polyp is uncommon in comparison with the ileocolic form. It has an atypical subacute presentation. It must be better understood for its diagnosis can be made too late. Surgical exploration is the treatment of choice because of the recurrence of various clinical symptoms. We report a case of single juvenile polyp of jejunum found in a 10-year-old girl who presented with signs of intussusception.

Keywords :Juvenile polyp , Intussusception , Small intestine