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Pediatrics Childhood Tumors a3abe475

Intussusception is caused by:

A
Submucous lipoma
B
Subfascial lipoma
C
Subserous lipoma
D
Intramural lipoma
High-Yield Explanation
a. Submucous lipoma(Ref: Nelson's 20/e p 1812-1814, Ghai 8/e p 287)Predisposing conditionsPeyer's patches or prominent mounds of lymph tissue lead to mucosal prolapse of ileum into colon;Other lead points: Meckel diverticulum, intestinal polyp, neurofibroma, intestinal duplication cysts, hamartomas, ectopic pancreatic tissue, hemangioma, lipomaClinical featuresSudden onset of severe paroxysmal colicky pain in a previously well child, that recurs frequently60% infants pass a stool containing red blood and mucus, the currant jelly stoolVomiting occurs in most cases and is usually more frequently in the early phase.

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