Colonic polyp as a rare aetiology of paediatric colocolic intussusception

Intussusception is a common cause of abdominal pain and bowel obstruction in infants and children. Colocolic intussusception is a rare form, for which diagnostic imaging should be critically reviewed for identification of a lead point. This is the case of a young child who presented with abdominal pain and was found to have colocolic intussusception. Complete reduction was achieved with a pneumatic enema followed by a contrast enema. A pathological lead point was suspected based on radiological findings during reduction. A colonoscopy revealed a solitary, large juvenile polyp in the descending colon and a complete polypectomy was performed endoscopically. Both endoscopic and surgical management are viable treatment options for colocolic intussusception when a lead point is identified.