Intussusception

Case contributed by Dr Ali Basim

Presentation

Abdominal pain for 1 week duration

Patient Data

Age: 30 months
Gender: Male
Ultrasound

Soft tissue mass is seen anterior to the right kidney. In the longitudinal view, it gives rise to a reniform shape (pseudokidney sign). In the transverse view, it shows multilayered concentric rings of mass (target sign). Doppler flow indicates bowel wall viability.

Findings are characteristic ultrasound findings of ileocolic intussusception.

Annotated image

Pseudokidney  sign and target sign of intussusception.

Case Discussion

The child developed symptoms of abdominal pain and vomiting for one week, hydrostatic enema by pediatric surgeon was attempted but the reduction was not successful.

Factors that made the reduction less likely in this case were:

  • long history
  • older than 2 years age
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Case information

rID: 49591
Published: 28th Nov 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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