Single contrast enema reduction of colo-colonic intussusception

Case contributed by Dr Mohamed Hossam el Deen

Presentation

This patient was referred from pediatric surgery clinic complaining from abdominal cramps with passing bloody stool three days after acute attack of pharyngitis.

Patient Data

Age: 9 months
Gender: Male

Initial radiographic image demonstrates multiple proximal bowel air fluid levels and gasless distal bowel loops.

Emergency ultrasound revealed target (or donut) sign of large bowel at the left iliac fossa.

Successful hydrostatic reduction of colon-colonic intussusception by a single contrast enema.

At follow up visits, the patient was completely normal.

Claw sign highlighted in red circle.

Case Discussion

Hydrostatic reduction of intussusception is done either by single contrast enema or air enema, which is considered safer. In this case, gastrografin contrast (50/50 concentration with normal saline) was used instead of barium contrast.

The study succeeded to relieve the bowel telescoping and contrast reached the ascending colon.

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Case Information

rID: 51769
Case created: 6th Mar 2017
Last edited: 13th Mar 2017
Inclusion in quiz mode: Included

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