Transanal Prolapse of Ileocolic Intussusception in an Infant

Sir, Transanal prolapse of ileocolic intussusception (TAPI) is a rare but life-threatening presentation in infancy and is frequently misdiagnosed as rectal prolapse, resulting in delayed definitive management.[1] We recently managed a 6-month-old male infant presenting with an irreducible prolapsed anal mass, dehydration, and vomiting [Figure 1]. Emergency laparotomy revealed gangrenous ileocolic intussusception with transanal extrusion, necessitating bowel resection and primary anastomosisFigure 1: Transanal prolapse of ileocolic intussusceptionTAPI is reported predominantly from low-resource settings, where delayed referral and limited diagnostic imaging contribute to high rates of bowel ischemia and resection.[1,2] Interestingly, several studies have reported a higher incidence of TAPI among female children, in contrast to the general male predominance seen in typical intussusception cases.[2] Clinical features such as an irreducible prolapsed mass, a palpable sulcus between the mass and anal verge, and systemic toxicity are key clues distinguishing TAPI from true rectal prolapse.[1] Early recognition and prompt surgical intervention are crucial for survival and favorable outcomes. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.