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Simultaneous occurrence of jejuno-jejunal and ileo-ileal intussusception in a child: a rare occurrence

A Pandey1, J D Rawat, A Wakhlu

  • 1Department of Pediatric Surgery, CSM Medical University, Lucknow, Uttar Pradesh, India. dranand27@rediffmail.com

BMJ Case Reports
|June 21, 2012
PubMed

Insights

Intussusception, a common cause of intestinal obstruction in children, can rarely occur simultaneously in multiple intestinal segments. This case report details a rare instance of jejuno-jejunal and ileo-ileal intussusception occurring together.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Abdominal Imaging

Background:

  • Intussusception is the leading cause of intestinal obstruction in infants and children.
  • Classic symptoms include abdominal pain, bloody diarrhea, and a palpable mass.
  • Small bowel intussusceptions, particularly jejuno-ileal and duodeno-jejunal, are rare.

Observation:

  • This report describes a unique case of multiple simultaneous intussusception.
  • The patient presented with concurrent jejuno-jejunal and ileo-ileal intussusceptions.
  • This represents an extremely uncommon clinical presentation.

Findings:

  • Simultaneous jejuno-jejunal and ileo-ileal intussusception was diagnosed.
  • This specific combination of multiple intussusceptions is exceptionally rare in pediatric patients.
  • The case highlights the diversity of intussusception presentations.

Implications:

  • This case expands the understanding of rare intussusception variants.
  • It underscores the importance of considering unusual presentations in pediatric intestinal obstruction.
  • Further literature review is provided for this rare entity.

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