Presentation
No bowel movement for several days. Blood noted in stool at that time. Decreased oral intake. Evaluate for intussusception
Patient Data
Within the right upper quadrant, adjacent to the liver, there is a target sign. No significant adjacent fluid collection was noted.
There is a general paucity of both large and small bowel gas. There is an absence of bowel gas in the right upper quadrant with a subtle mass-like structure, likely representing the patient's known intussusception.
Selected images from the fluoroscopic air enema.
There was free flow of air from the rectosigmoid colon to the right upper quadrant with visualization of a filling defect (not well seen on these images). Following progressive insufflation, the mass was advanced into the right lower quadrant with reflux of air into the distal small bowel.
Case Discussion
This is a case of an ileocolic intussusception.
However, the patient returned with abdominal pain where an ultrasound showed findings consistent with an ileocolic intussusception. The patient was taken to fluoroscopy for an air enema where there was successful reduction of the ileocolic intussusception. There were no recurrences of the intussusception.
Co-author:
Yostina Soliman
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