Related Experiment Videos
Ileocolic intussusception presenting with bilious vomiting due to extrinsic duodenal obstruction
P J Strouse1, M A DiPietro, K I Mogbo
1Department of Radiology, Section of Pediatric Radiology, C. S. Mott Children's Hospital, University of Michigan Medical Center, 200 E. Hospital Drive, Ann Arbor, MI 48109-0252, USA.
Pediatric Radiology
|November 1, 1995
Insights
A child experienced bilious vomiting caused by ileocolic intussusception obstructing the duodenum. This case highlights clinical signs, imaging, and ultrasound in diagnosing this rare condition.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Diagnostic Imaging
Background:
- Intussusception is a common cause of bowel obstruction in children, typically ileocolic.
- Extrinsic duodenal obstruction is rare, with intussusception being an unusual etiology.
- Bilious vomiting in infants necessitates prompt evaluation for potential surgical emergencies.
Observation:
- A pediatric patient presented with acute bilious vomiting, a concerning symptom of upper gastrointestinal obstruction.
- Clinical examination revealed signs suggestive of abdominal distress.
- Radiographic studies, including sonography, were crucial in identifying the cause of obstruction.
Findings:
- The diagnosis of extrinsic duodenal obstruction was confirmed.
- Ileocolic intussusception was identified as the cause of the duodenal compression.
- Sonography proved to be a valuable, non-invasive tool for visualizing the intussusception and its effect on the duodenum.
Implications:
- This case underscores the importance of considering intussusception as a cause of duodenal obstruction in children.
- Early diagnosis and intervention are critical to prevent complications associated with bowel obstruction.
- The utility of ultrasound in diagnosing intussusception, even when presenting atypically, is reinforced.
Abstract:
We present a case of a child presenting with bilious vomiting due to extrinsic duodenal obstruction by an ileocolic intussusception. The clinical presentation, radiographic findings, and use of sonography are discussed.