Target sign of intussusception

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

1-day history of abdominal pain. No altered bowel habit. Mesenteric adentitis?

Patient Data

Age: 8 years old
Gender: Male
ultrasound
Transverse
Transverse
Longitudinal
Longitudinal
Longitudinal
Longitudinal
Longitudinal
Transverse
Transverse
Transverse
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Info

Doughnut ('target') and pseudokidney signs in the left upper quadrant.

The liver, gallbladder, spleen and kidneys are normal in appearance.

No free fluid.

Case Discussion

The two classical signs (target and pseudokidney sign) of intussusception are illustrated in this case of a primary school-age child with abdominal pain.  The child was transferred to a tertiary centre for pneumatic reduction.

The target (aka doughnut) sign also has a floral-like appearance centrally Rorschach radiology.

 

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