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Perforation of the intussuscipiens transverse colon: an unusual complication in infancy
Insights
This case report highlights a rare infant ileocolic intussusception with a silent transverse colon rupture. Clinical diagnosis is crucial, even with unclear imaging, to avoid hazardous barium enemas.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Radiology
Background:
- Intussusception is a common surgical emergency in infants.
- Ileocolic intussusception is the most frequent type.
- Complicated intussusception can present with atypical symptoms.
Abstract:
A case of an ileocolic intussusception in an infant is presented, complicated by an unusually "silent" rupture of the intussuscipiens transverse colon. We stress the importance of clinical diagnosis even in the absence of convincing plain film findings. The value of laparotomy is also emphasised in this particular case, where a barium enema could have been potentially hazardous for the patient.