Idiopathic postpartum intussusception: a rare cause of acute abdominal pain
Ercan Kocakoc1, Zulkif Bozgeyik, Mustafa Koc
1Department of Radiology, Faculty of Medicine, Firat University, Elazig, Turkey. ekocakoc@hotmail.com
Objectives:
To present a case with acute abdominal pain due to idiopathic intestinal intussusception diagnosed by ultrasound and computed tomography (CT) during the early postpartum period.
Clinical Presentation And Intervention:
A 21-year-old female patient was admitted to our hospital with abdominal pain, nausea and emesis after a normal vaginal delivery. Laboratory tests done at admission were within normal limits except for leukocytosis. Physical examination revealed abdominal distention, guarding and rebound tenderness. Abdominal ultrasound and oral contrast-enhanced CT showed a complex mass in the hypogastrium, with a typical configuration of intussusception. Emergent laparotomy revealed ileoileal invagination approximately 70 cm to the ileocecal valve but no lead point. A partial ileal resection was performed.
Conclusion:
This case shows that when intussusception is suspected, an abdominal ultrasound should be performed even in patients with atypical symptoms. CT may be used to confirm the diagnosis.
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