Ileoileal invagination without obstruction in a four-year-old boy

I Faruk Ozgüner1, Cağgri Savaş, Bahattin Baykal

  • 1Department of Pediatric Surgery Süleyman Demirel University Medical School, Isparta, Turkey.

Insights

Intussusception, a common cause of acute abdomen in infants, can present atypically. Characteristic imaging like ultrasonography and computed tomography confirmed ileo-ileal intussusception in this case.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Intussusception is a leading cause of acute abdomen in infants.
  • Typical symptoms include vomiting, bloody stools, abdominal pain, and a palpable mass.
  • Atypical presentations can delay diagnosis.

Observation:

  • A case of intussusception with an unusual clinical presentation was reported.
  • The patient did not exhibit the classic signs of intussusception.

Findings:

  • Characteristic ultrasonography findings were crucial for diagnosis.
  • Computed tomography (CT) also provided definitive evidence.
  • The diagnosis was confirmed as ileo-ileal intussusception.

Implications:

  • This case highlights the importance of advanced imaging in diagnosing intussusception, especially with atypical symptoms.
  • Ultrasonography and CT are vital tools for identifying ileo-ileal intussusception.
  • Recognizing imaging hallmarks aids in timely and accurate diagnosis of pediatric abdominal emergencies.

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