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Complex presentation of intussusception in childhood

M J Dawrant1, J C Lee, C-P Ho

  • 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.

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