Intussusception reduction

Case contributed by Dr Yaïr Glick

Presentation

Vomiting, bouts of crying, does not pass stool.

Patient Data

Age: 11 months
Gender: Female

Ileocolic intussusception and numerous mesenteric lymph nodes demonstrated in right lower abdomen.

The infant was duly transferred to the fluoroscopy suite for intussusception reduction.

Fluoroscopy

Control image - gas in stomach and small bowel loops in central abdomen.
On colonic insufflation via rectal Foley catheter (first attempt at reduction), the intussusception took on a spherical shape.
Only on the third attempt, the intussusception was reduced, with gas seen flowing into the small bowel.

Case Discussion

A classic case of ileocolic intussusception necessitating active reduction. The only non-classic feature was the parents reporting symptoms of almost 3 days' duration, including no bowel movement, rather than currant jelly stools.
As can be appreciated above, we reduce intussusception with an air enema at our institution.

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