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Neonatal ileocolic intussusception with enterogenous cyst: ultrasonic diagnosis

D Pandher, E E Sauerbrei

    Journal of the Canadian Association of Radiologists
    |December 1, 1983
    PubMed

    Insights

    A duplication cyst in an infant caused ileocolic intussusception, mimicking pyloric stenosis. This rare cause of intestinal obstruction highlights the importance of comprehensive imaging in pediatric vomiting cases.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Medical Imaging

    Background:

    • Pyloric stenosis is a common cause of vomiting in infants.
    • Intussusception is a surgical emergency in children.
    • Duplication cysts are rare congenital anomalies.

    Observation:

    • An infant presented with vomiting and a right upper quadrant mass, initially suspected as pyloric stenosis.
    • Sonography revealed an unusual elongated mass with hypoechoic rings and a cyst caudal to the pylorus.
    • Barium examination confirmed ileocolic intussusception.

    Findings:

    • The leading point of the intussusception was a duplication cyst.
    • Surgical intervention confirmed the diagnosis and removed the cyst.

    Implications:

    • This case underscores the importance of considering duplication cysts as a lead point for intussusception.
    • Advanced imaging techniques are crucial for diagnosing complex pediatric gastrointestinal conditions.
    • Early diagnosis and surgical management are vital for favorable outcomes in intussusception.

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