Intussusception

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Developed abdominal pain and a bowel obstruction.

Patient Data

Age: 18 months
Gender: Female

Abdomen

x-ray

There is a large soft tissue opacity in the right upper quadrant which appears to bulge into what is presumably the transverse colon.

ultrasound

Ultrasound confirms an intussusception with a nice example of a target sign. 

Fluoroscopy

Air enema, used to reduce the intussusception. Intussusception identified as a hypodense area within the proximal ascending colon.

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