Terminal Ileitis Presenting With a Spontaneously Reduced Ileocolic Intussusception Diagnosed by Point-of-Care...

Area of Science:

• Pediatric Radiology
• Emergency Medicine
• Gastroenterology

Background:

• Ileocolic intussusception requires prompt reduction to prevent bowel ischemia.
• Point-of-care ultrasound (POCUS) is a valuable tool in the initial assessment of intussusception.

Purpose of the Study:

• To report a case of spontaneously reduced ileocolic intussusception.
• To emphasize the significance of spontaneous reduction in pediatric cases.
• To discuss the implications for diagnostic ultrasound accuracy.

Main Methods:

• Case report of a 27-month-old boy with ileocolic intussusception.
• Initial assessment using point-of-care ultrasound.
• Follow-up radiology ultrasound revealing inflammatory changes.
• Review of diagnostic techniques and spontaneous reduction incidence.

Main Results:

• Ileocolic intussusception spontaneously reduced prior to planned reduction.
• Radiology ultrasound showed significant terminal ileum inflammation post-spontaneous reduction.
• The exact incidence of spontaneous reduction remains unknown.

Conclusions:

• Spontaneous reduction of ileocolic intussusception can occur, necessitating clinical awareness.
• The possibility of spontaneous reduction may affect the sensitivity of ultrasound studies for intussusception diagnosis.
• A pre-reduction ultrasound is crucial immediately before any reduction attempt.