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Complex presentation of intussusception in childhood
1Department of Paediatric Surgery, Chelsea and Westminster Hospital, 369, Fulham Road, London, SW109NH, UK.
Insights
This rare pediatric case details a volvulus within an ileoileal intussusception. Computerised tomography (CT) images clearly showed both conditions, aiding diagnosis of small bowel obstruction.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Radiology
- Abdominal Imaging
Background:
- Intussusception and volvulus are uncommon pediatric surgical emergencies.
- Simultaneous occurrence is exceptionally rare, posing diagnostic challenges.
Observation:
- A case of an 8-year-old boy presenting with ileoileal intussusception complicated by volvulus.
- The patient underwent diagnostic imaging to evaluate abdominal symptoms.
Findings:
- Computerised tomography (CT) provided clear visualization of both intussusception and concurrent volvulus.
- CT effectively identified the cause of small bowel obstruction in this pediatric patient.
Implications:
- This case underscores the utility of CT scans in diagnosing complex pediatric abdominal pathologies.
- CT imaging is crucial for characterizing abdominal masses and determining the etiology of small bowel obstruction in children.
Abstract:
The simultaneous occurrence of intussusception and volvulus in the paediatric age group is rare. We report the case of a volvulus of an ileoileal intussusception in an 8-year-old boy. This is the first time that computerised tomography (CT) images of a volvulus of an ileoileal intussusception have been published, and they clearly demonstrate both pathologies. This case highlights the use of CT in determining the nature of an abdominal mass and demonstrates how helpful it can be in diagnosing the cause of small bowel obstruction in children.
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