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A Case of Jejunal Juvenile Polyp Presented as Intussusception

Korean Journal of Pediatrics 2005;48(4):453-456.
Published online April 15, 2005.
A Case of Jejunal Juvenile Polyp Presented as Intussusception
Ki Beom Kwon1, Mee Yong Shin1, Kye Won Kwon2, Jae Ock Park1
1Department of Pediatrics, College of Medicine, Soonchunhyang University, Bucheon, Korea
2Department of Pathology, College of Medicine, Soonchunhyang University, Bucheon, Korea
장중첩증 증상을 보인 공장에 발생한 연소성 용종 1례
권기범1, 신미용1, 권계원2, 박재옥1
1순천향대학교 의과대학 소아과학교실
2순천향대학교 의과대학 병리학교실
Correspondence: 
Jae Ock 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.
Key Words: Juvenile polyp , Intussusception , Small intestine


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