Primary gastroesophageal intussusception diagnosed with imaging

Abdo Abdulkadir1, Mekonnen Birhanu Belachew1, Solomon Tessema Yimamu1

  • 1Department of Radiology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Pediatric Radiology
|May 28, 2025
PubMed

Insights

A rare pediatric choking case was diagnosed as acute gastroesophageal intussusception solely via imaging. This child fully recovered with conservative management, highlighting a unique case of this rare condition.

Area of Science:

  • Pediatric Gastroenterology
  • Rare Medical Conditions
  • Diagnostic Imaging

Background:

  • Acute gastroesophageal intussusception is a rare condition where the stomach telescopes into the esophagus.
  • It can present with acute symptoms like choking and respiratory distress in children.

Purpose of the Study:

  • To report a unique case of primary gastroesophageal intussusception in a pediatric patient.
  • To emphasize the role of imaging in diagnosing this rare condition.
  • To highlight the success of conservative management.

Main Methods:

  • A pediatric patient presented with sudden choking and respiratory distress.
  • Diagnosis was established exclusively through medical imaging.
  • Treatment involved conservative management strategies.

Main Results:

  • The patient was diagnosed with primary gastroesophageal intussusception.
  • Imaging was the sole diagnostic tool used.
  • The patient experienced a complete recovery without surgical intervention.

Conclusions:

  • Primary gastroesophageal intussusception is rare in children.
  • Imaging can be sufficient for diagnosis.
  • Conservative management can lead to favorable outcomes in select pediatric cases.

Related Concept Videos

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
154
Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
527
Upper GI Series: Barium Swallow01:24

Upper GI Series: Barium Swallow

The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
956
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
212
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
152
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
338