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A 4 years-old boy presented to Medic Center with one year history of weakness,
fatigue, lethargy, pale skin and less active. No recognition of other symptoms
such as vomiting, abdominal pain or bloody stools. Patient was done blood test
and abdominal ultrasound.
Abdominal ultrasound detected
colo-colonic intussusception in the right upper quadrant with concentric rings
sign in transverse scan and "hay fork" sign in long axis scan.
Located adjacent the intussusception show an isoechoic to hypoechoic solid
mass, well defined oval, 30 mm in diameter, hypervascular in the hilus of the
mass. Those blood vessels were continuing with the blood vessels from central
portion of the intussusception. Sonologist suspected a intussusception of the
ascending colon secondary to a polyp.
Laboratory investigations showed
the reduction of Hemoglobin: 6.5 g / dl.
The patient was transferred to the
hospital Nhi Dong 2. He had positive fecal occult blood test. Colonoscopy
showed a polyp of ascending colon.
A surgery was then obtained 2 weeks later.
Surgical results confirmed polyp of the ascending colon which pathology
result is tubular polyp.
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