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Traumatic intussusception with intramural haematoma

Suat-Jin Lu1, Poh-Sun Goh

  • 1Department of Diagnostic Imaging, National University Hospital, Singapore. suat_jin_lu@yahoo.com

Pediatric Radiology
|February 14, 2009
PubMed

Insights

Traumatic intussusception is rare, especially when caused by an intramural hematoma. This case highlights CT findings of a duodenojejunal hematoma leading to jejunojejunal intussusception in a pediatric patient.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Radiology

Background:

  • Intussusception is a common cause of bowel obstruction in children.
  • Traumatic intussusception is uncommon, with various potential lead points.
  • Intramural hematomas can rarely serve as the lead point for intussusception.

Observation:

  • A 12-year-old boy presented with symptoms suggestive of bowel obstruction.
  • Computed Tomography (CT) revealed a large intramural hematoma in the duodenojejunal region.
  • The hematoma was identified as the lead point causing a jejunojejunal intussusception.

Findings:

  • CT imaging demonstrated a significant duodenojejunal intramural hematoma.
  • This hematoma acted as the lead point for a secondary jejunojejunal intussusception.
  • The findings underscore the diagnostic utility of CT in identifying rare causes of intussusception.

Implications:

  • This case expands the spectrum of known causes for pediatric intussusception.
  • Accurate CT interpretation is crucial for diagnosing traumatic intussusception secondary to intramural hematoma.
  • Understanding this rare etiology aids in appropriate surgical planning and management.

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