A case of ileal caecum intussusception mimicking rectal prolapse in a 4-month-old female infant

Ilea caecum Intussusception protruding to the level of anus is a rare manifestation and potentially serious condition in infants.

A four-month-old infant presented with a one-day history of non-projectile vomiting, three episodes, food contents, worsened by feeding, accompanied by intermittent low-grade fever, and one instance of passing black tarry stool. After outpatient treatment, the infant showed improvement for three days, but later the mother noticed a protruding, self-reducing anal mass, hence the suspected rectal prolapse, which was then Referred for further management.

Intussusception, the most frequent surgical emergency in infants and young children aged 3 to 6 months, is primarily idiopathic, with the ileocecal region being the most commonly affected (90 % of cases). However, when the intussusceptum advances to the anus, it's rare, often leading to misdiagnosis and mismanagement.

Intussusception of the colon should be added to the differential diagnosis of symptoms and the clinical picture of rectal prolapse.