Presentation
Vomiting, bouts of crying, does not pass stool.
Patient Data
Ileocolic intussusception and numerous mesenteric lymph nodes demonstrated in right lower abdomen.
The infant was duly transferred to the fluoroscopy suite for intussusception reduction.
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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