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A Child's Acute Intestinal Intussusception and Literature Review

Romeo Thierry Yehouenou Tessi1, Siham El Haddad1, Koudouhonon Rita Oze1

  • 1Department of Radiology, Ibn Sina Paediatric Teaching Hospital,Mohammed V University, Rabat, Morocco.

Global Pediatric Health
|December 6, 2021
PubMed

Insights

Acute intestinal intussusception is a common pediatric surgical emergency. Early diagnosis and treatment, often with ultrasound-guided reduction, significantly improve outcomes and prevent complications.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Acute intestinal intussusception is a critical condition in young children, involving the telescoping of one intestinal segment into another.
  • While often idiopathic, it can be linked to underlying issues like Meckel's diverticulum, typically affecting the ileocecal region.

Observation:

  • A 3-year-old boy with a history of malformation presented with abdominal distension, pain, and rectal bleeding.
  • The clinical presentation led to the diagnosis of acute ileo-ileal intussusception.

Findings:

  • Ultrasound confirmed the diagnosis and was used for an initial attempt at hydrostatic reduction.
  • The patient subsequently underwent successful surgical management with an uncomplicated postoperative recovery.

Implications:

  • Intestinal intussusception, despite its emergent nature, has a low mortality rate (0-1%) when diagnosed and treated promptly.
  • This case highlights the importance of timely diagnosis and intervention, utilizing imaging like ultrasound, to manage pediatric intussusception effectively.

Keywords:
acute intestinal intussusceptionchildenema reductionscannersurgeryultrasound

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