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Case report: transient small bowel intussusception presenting as right lower quadrant pain in a 6-year-old male

Mathew J Nelson1, Tara Paterson1, Christopher Raio1

  • 1Department of Emergency Medicine, North Shore University Hospital, 300 Community Drive, Manhasset, NY 11030, USA.

Critical Ultrasound Journal
|July 2, 2014
PubMed

Insights

Ultrasound is the top choice for diagnosing right lower quadrant pain in children. This imaging technique helps identify conditions like appendicitis and intussusception, guiding prompt medical care.

Area of Science:

  • Pediatric Emergency Medicine
  • Diagnostic Imaging

Background:

  • Right lower quadrant pain is a common emergency room presentation in children.
  • Differential diagnoses include appendicitis and intussusception, requiring accurate and timely diagnosis.

Purpose of the Study:

  • To highlight the utility of ultrasonography as the preferred initial imaging modality for pediatric right lower quadrant pain.
  • To discuss the role of point-of-care ultrasound in diagnosing appendicitis and intussusception.

Main Methods:

  • Case presentation of a 6-year-old male with sudden severe right lower quadrant pain.
  • Initial diagnostic imaging performed was ultrasonography.
  • Clinical assessment included observation and serial abdominal exams.

Main Results:

  • Ultrasonography effectively narrowed the differential diagnosis.
  • Point-of-care ultrasound aids in frequent diagnosis of appendicitis and ileo-colic intussusception.
  • Transient small bowel intussusception was considered.

Conclusions:

  • Ultrasonography is crucial for diagnosing pediatric right lower quadrant pain.
  • Prompt diagnosis of intussusception is essential to rule out obstruction.
  • Further imaging or clinical monitoring may be necessary for definitive management.

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