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Updated: Aug 25, 2025

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Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
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A Surprising Lead Point in an Ileocolic Intussusception
Pediatric Emergency Care
|October 17, 2022
Summary
Pediatric appendicitis and intussusception rarely co-occur. Point-of-care ultrasound (POCUS) in the emergency department successfully identified both conditions, enabling prompt treatment and surgical preparation.
Area of Science:
- Pediatric Emergency Medicine
- Diagnostic Imaging
- Gastrointestinal Surgery
Background:
- Appendicitis and intussusception are common pediatric abdominal emergencies requiring prompt treatment.
- Concurrent appendicitis and intussusception are rare but pose diagnostic challenges.
- Maintaining a broad differential diagnosis is crucial in pediatric abdominal emergencies.
Observation:
- A case of concurrent ileocolic intussusception and appendicitis in a child is presented.
- Clinical suspicion for intussusception was initially low.
- Point-of-care ultrasound (POCUS) was utilized in the pediatric emergency department.
Findings:
- POCUS revealed findings consistent with both ileocolic intussusception and appendicitis.
- The identification of intussusception via POCUS facilitated timely intervention.
- The lead point of the intussusception was identified, aiding surgical planning.
Implications:
- This case highlights the value of POCUS in diagnosing complex pediatric abdominal emergencies.
- POCUS can expedite treatment and improve outcomes for children with combined appendicitis and intussusception.
- Broadening the differential diagnosis and utilizing advanced imaging are key in unclear pediatric presentations.
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