Intussusception

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Infant was suffering from agonising spasmodic abdominal pain.

Patient Data

Age: 10 months
Gender: Male
X-ray

Right iliac fossa free of gas.

Ultrasound

An intra-abdominal soft tissue mass with a target sign appearance is located predominantly within the umbilical region raising the possibility of intussusception.

Fluoroscopy

Hydrostatic reduction of intussusception. It shows steady flow of contrast from the descending colon until reaching the upper part of the ascending colon. Evidence of coiled spring appearance, filling defect of intussusception seen during the procedure. No more progression.

 

Case Discussion

After US diagnosis of infantile intussusception with digital rectal examination showed red currant jelly mucus, a hydrostatic reduction using dilated Gastrografin was tried. Progressive monitored reduction was achieved until reaching the distal ascending colon, where there was no more progressive reduction, so decision for surgical intervention. 

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Case information

rID: 27718
Published: 15th Feb 2014
Last edited: 18th Oct 2018
Inclusion in quiz mode: Included

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