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Published on: December 1, 2012
A rare case of intusscusception in a 6-month-old baby
Emmanuel Fiagbedzi1,2, Joseph Arkorful2, Emmanuel Appiah2
1University of Ghana, Department of Medical Physics, Accra, Ghana.
Insights
This case report details the successful surgical management of ileo-caeco coli intussusception in a Ghanaian infant. Early diagnosis and intervention led to a full recovery with low morbidity.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Intussusception is a common cause of bowel obstruction in infants.
- Early diagnosis and management are crucial for favorable outcomes.
- This report focuses on a rare case in a regional hospital in Ghana.
Observation:
- A 6-month-old female infant presented with vomiting, lethargy, fever, and currant jelly stool.
- Differential diagnoses included Merkel diverticulum, volvulus, lymphadenopathy, and hypertrophic pyloric stenosis.
- Ultrasound revealed a characteristic concentric lesion indicative of intussusception.
Findings:
- Ileocecal intussusception was confirmed as the diagnosis.
- Surgical management was successfully employed.
- The patient experienced no post-operative complications.
Implications:
- This case highlights the importance of prompt diagnosis and surgical intervention for infant intussusception.
- Successful management in a resource-limited setting demonstrates feasibility.
- Infant intussusception, when managed effectively, has a low morbidity rate.
Abstract:
This case report discusses the clinical presentation, imaging findings, and successful management of a rare case of intussusception in a 6-month-old female infant referred to a regional hospital in Ghana. The patient presented with vomiting, lethargy, fever, and currant jelly stool. Differential diagnoses considered included Merkel diverticulum, volvulus, lymphadenopathy, and hypertrophic pyloric stenosis. Ultrasound imaging revealed a concentric lesion with characteristic signs of intussusception. Ileo-caeco coli intussusception was confirmed as the diagnosis. Surgical management was used for this patient. The postsurgery phase was without any complications. The patient recovered well and was discharged with a switch to oral medications. Infant intussusception is still a disease with a low morbidity rate.
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