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Acquired ileal atresia complicating an ileocolic intussusception in a 4-month-old infant

Roland Osuoji1, Ogechukwu Idika, Edwin Odomeja

  • 1Department of Surgery, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria. drosuoji@yahoo.com

Journal of Pediatric Surgery
|February 5, 2011
PubMed

Insights

A rare case of ileocolic intussusception in an infant was successfully treated with surgery. The condition mimicked intestinal atresia, highlighting the importance of surgical exploration for complex pediatric abdominal emergencies.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Neonatal Care

Background:

  • Intussusception is a common cause of bowel obstruction in infants.
  • Red currant jelly stools and abdominal distension are classic signs.
  • Surgical intervention is often required for complicated cases.

Observation:

  • A 4-month-old infant presented with vomiting, abdominal distension, and red currant jelly stools.
  • Clinical diagnosis of intussusception was made.
  • Intraoperative findings revealed gangrenous ileocolic intussusception with a proximal atretic ileal segment.

Findings:

  • The infant underwent an extended right hemicolectomy with an ileotransverse anastomosis.
  • Postoperative wound dehiscence occurred but was successfully repaired.
  • The infant recovered well and was discharged on the 10th postoperative day.

Implications:

  • This case highlights a rare presentation of intussusception mimicking ileal atresia.
  • Prompt surgical management is crucial for favorable outcomes in pediatric intussusception.
  • Accurate intraoperative assessment is vital for guiding surgical strategy in complex cases.

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