Intussusception

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Excessive crying. Hematochezia.

Patient Data

Age: 1 year
Gender: Female
ultrasound

Telescoping of terminal ilum, appendix, lymph nodes and fat into the cecum suggesting an ileocecal intussesception.

Pseudokidney and target sign are seen.

1 - 2 distal ilial loops are dilated.

No ascites.

Case Discussion

Hydrostatic water enema (by Pediatric surgeon) was given within a few hours. Next day follow-up showed absence of intussusception.

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