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Unusual radiological findings of pediatric jejunojejunal intussusception: A case report

F Kusumowidagdo1, D A Syahputra2, V Indriasari3

  • 1Airlangga University, Faculty of Medicine, Dr. Soetomo Regional Public Hospital, Department of Surgery, Pediatric Surgery Division, Surabaya, East Java, Indonesia. fransiska.pedsurg@gmail.com.

The Medical Journal of Malaysia
|July 28, 2022
PubMed

Insights

Intussusception in older children can present atypically. A jejunal polyp caused intussusception in a 14-year-old, requiring surgical intervention for complete recovery.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Intussusception is a frequent cause of intestinal obstruction in children under 5 years.
  • Typical symptoms include colicky pain, bloody stools, and abdominal masses, with ultrasound showing a target sign.

Observation:

  • A 14-year-old girl presented with total bowel obstruction, hematochezia, and intestinal pneumatosis on X-ray.
  • Imaging revealed a dilated, reverse C-shaped bowel loop, suggesting a complex obstruction.

Findings:

  • Laparotomy confirmed jejunojejunal intussusception.
  • A jejunal polyp was identified as the pathologic lead point causing the intussusception.

Implications:

  • This case highlights that intussusception in older children may stem from a pathologic lead point, necessitating thorough investigation.
  • Prompt surgical management (resection and anastomosis) led to a successful outcome and recovery.

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