Presentation
Abdominal pain and omiting for one day.
Patient Data
“Pseudokidney” and “target” sign seen at right lumbar extending to right hypochondriac region in keeping with intussusception. Multiple enlarged mesenteric nodes at right lumbar region. Doppler signal is present within. Minimal interloop fluid.
Liver, gallbladder, spleen and both kidneys are normal.
Urinary bladder is distended and normal in configuration.
During and post reduction
Proceeded with hydrostatic reduction of intussusception.
Terminal ileum is thickened in keeping with post-reduction changes.
Minimal interloop fluid.
Case Discussion
During the reduction, 24 Fr Foley's catheter was connected to 1.5 L of water in elevated enema bag. The other end of the catheter was secured at the anal region. Catheter balloon is inflated with 30 cc of water for injection.
Hydrostatic reduction attempted x 1, using “rule of 3” (three attempts, each of 3 minutes duration and with the saline bottles at 3 feet above the ground). The intussuscepted bowel at right lumbar region was reduced. “Fish mouth” sign (ileocaecal valve was visualised).
No immediate complication after the reduction.
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