Intestinal intussusception

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Previously healthy child, complaining from acute abdominal pain and vomiting for last one day.

Patient Data

Age: 1 year
Gender: Male
x-ray

A round soft tissue mass in the right iliac fossa giving target sign appearance surrounded by crescentic layer of gas making meniscus sign.

Case Discussion

The target sign consists of a soft-tissue mass that contains concentric circular or nearly circular areas of lucency, which are due to the mesenteric fat of the intussusceptum 1.

The meniscus sign consists of a crescent of gas within the colonic lumen that outlines the apex of the intussusception 1.

Abdominal ultrasonography confirmed intestinal intussusception.

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