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A Case of Intussusception with Acute Appendicitis

Hyung Min Kee1, Ji Young Park1, Dae Yong Yi1

  • 1Department of Pediatrics, Chung-Ang University College of Medicine, Seoul, Korea.

Pediatric Gastroenterology, Hepatology & Nutrition
|July 10, 2015
PubMed

Insights

A rare case of appendicitis occurring with intussusception in a child highlights diagnostic challenges. Early detection and surgical intervention are crucial for favorable outcomes in pediatric gastrointestinal emergencies.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Intussusception and acute appendicitis are common pediatric surgical emergencies.
  • Both conditions share overlapping clinical presentations, complicating diagnosis.
  • Concurrent appendicitis and intussusception in children is exceptionally rare.

Observation:

  • A 38-month-old boy presented with right lower quadrant abdominal pain and tenderness.
  • Initial vital signs and laboratory tests were unremarkable.
  • Computed tomography revealed ileocolic intussusception with appendiceal wall thickening within the intussuscepted segment.

Findings:

  • The appendix was trapped within the intussusception, exhibiting diffuse wall thickening.
  • No signs of strangulation were noted in the intussuscepted bowel.
  • Surgical management involved appendectomy and manual reduction of the intussusception.

Implications:

  • This case underscores the importance of advanced imaging in diagnosing rare pediatric surgical conditions.
  • It highlights the diagnostic challenges posed by concurrent intussusception and appendicitis.
  • Prompt surgical intervention is vital to prevent severe complications like peritonitis and mortality.

Keywords:
AppendicitisIntussusception

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