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Concomitant intussusception and appendicitis "appendi-sception" in children: A case report and review of literature

Bhawesh Bhattarai1, Sujan Paudel2, Prajjwol Luitel2

  • 1Department of General Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Nepal.

International Journal of Surgery Case Reports
|July 31, 2024
PubMed

Insights

Concurrent appendicitis and intussusception, a rare pediatric condition, presents diagnostic challenges. Surgical intervention, including appendectomy, effectively treated this rare case of "appendi-sception".

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Intussusception is the primary cause of bowel obstruction in children under two.
  • Concurrent intussusception and appendicitis ('appendi-sception') is exceptionally rare.

Observation:

  • A 37-month-old boy presented with symptoms of intussusception, including abdominal pain, vomiting, and red currant jelly stool.
  • Ultrasound confirmed intussusception; failed hydroreduction prompted surgical exploration.
  • Laparotomy revealed ileocolic intussusception with an inflamed appendix.

Findings:

  • Histopathology confirmed suppurative appendicitis.
  • Appendectomy and manual reduction successfully treated the condition.
  • The patient experienced an uneventful recovery and one-year follow-up.

Implications:

  • Appendicitis as a lead point for intussusception is rare and difficult to diagnose preoperatively.
  • Symptom overlap between intussusception and appendicitis complicates diagnosis.
  • Failure of hydroreduction necessitates considering secondary causes like appendicitis, potentially warranting CT scans and appendectomy.
Abstract

Keywords:
AppendicitisBowel obstructionIntussusception

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