Ileocolic intussusception

Case contributed by Dr Amro Omar

Presentation

Vomiting, abdominal distention, bloody diarrhea

Patient Data

Age: 5 months
Gender: Female

Abdomen

x_ray

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.

Abdomen

ultrasound

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

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