Article Text

Images In...
Anal protrusion of intussusception
  1. Joanna Coghill1,
  2. Mensah2
  1. 1
    Addenbrooke’s Hospital, Hills Road, Cambridge CB2 0QQ, UK
  2. 2
    Volta Regional Hospital, Ho, Volta Region, MA 374, Ghana
  1. Joanna Coghill, joanna.coghill{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

An 8-month-old girl presented to a district hospital in Ghana with a 2 week history of frequent, blood stained diarrhoea. The patient was initially treated for presumed gastroenteritis and admitted for intravenous fluids. Two days after admission she was noted to have developed a mass protruding from her anus. This was initially thought to be a rectal prolapse and manual reduction was attempted. This was unsuccessful and she was referred to a regional paediatric unit for further intervention.

On arrival, she was tachycardic and in pain. Her abdomen was soft but diffusely tender. A short segment of bowel was prolapsed through the patients anus with a 5 cm × 3 cm necrotic mass attached to it (fig 1). The surgical team were alerted and once the patient was adequately fluid resuscitated a laparotomy was performed. The operative findings were an irreducible ileocaecal intussusception which had prolapsed through the rectum and become gangrenous. The patient had a right hemicolectomy to remove the affected bowel followed by an ileosigmoid anastomosis. The patient was able to open her bowels on day 1 postoperatively and was discharged home 8 days later in good condition.

Figure 1

Anal protrusion of intussusception.

Anal protrusion of intussusception is a recognised complication.1,2 However, it is rarely reported and confusion with rectal prolapse often leads to a delay in diagnosis. It is important to have a high index of suspicion as anal protruding intussusception requires surgical management and can be associated with high morbidity and mortality.3



  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication