Presentation
Vomiting, abdominal distention, bloody diarrhea
Patient Data
Age: 5 months
Gender: Female
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Anteroposterior radiograph shows dilated bowel loops in the left upper quadrant and soft tissue density in the right abdomen. The clinical presentation and appearance are highly suspicious for intussusception.
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Subsequent ultrasound confirmed the diagnosis. Transverse ultrasound shows the classic target sign of intussusception.
Case Discussion
- 90% of ileocolic intussusceptions are idiopathic
- it is the most common cause of pediatric small bowel obstruction
- most common between 5-9 months of age, but ranges from 3-36 months
- if patient >3 years, question pathologic lead point