Ileocolic intussusception

Case contributed by Dr Amro Omar


Vomiting, abdominal distention, bloody diarrhoea

Patient Data

Age: 5 months
Gender: Female

Anteroposterior radiograph shows dilated bowel loops in the left upper quadrant and soft tissue density in the right abdomen. The clinicial presentation and appearance is highly suspicious for intussusception.


Subsequent ultrasound confirmed the diagnosis. Transverse ultrasound shows the classic target sign of an intussusception.

Case Discussion

  • 90% of ileocolic intussusceptions are idiopathic
    • it is the most common cause of paediatric 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
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Case information

rID: 33923
Published: 29th Jan 2015
Last edited: 27th Nov 2016
Inclusion in quiz mode: Included

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