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Perforated appendicitis and appendicolith in a child presenting as intussusception: a case report
Todd P Chang1, Sudha A Russell
1Children's National Medical Center, Division of Emergency Medicine, Washington, DC 20010, USA. dr.toddchang@gmail.com
Pediatric Emergency Care
|July 7, 2011
Summary
Simultaneous intussusception and appendicitis are rare in children. This case highlights the importance of considering alternative diagnoses when a child
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Intussusception and appendicitis are common pediatric surgical emergencies.
- Simultaneous occurrence is exceptionally rare, posing diagnostic challenges.
Observation:
- A 30-month-old boy initially diagnosed with intussusception underwent successful reduction.
- Deterioration prompted further investigation, revealing perforated appendicitis with an appendicolith within the intussusception.
Findings:
- The case demonstrates a rare instance of concurrent intussusception and appendicitis in a pediatric patient.
- An appendicolith was identified as part of the intussuscepted mass, complicating the initial diagnosis.
Implications:
- This case underscores the necessity of considering alternative diagnoses in pediatric patients with atypical presentations.
- Clinicians must maintain a high index of suspicion for concurrent pathologies, even after initial successful treatment.
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