Simultaneous Antegrade and Retrograde Intussusceptions in a Child: A Rare Condition and Literature Review Simultaneous Antegrade and Retrograde Intussusceptions in a Child
Iranian Journal of Pediatric Surgery,
Vol. 7 No. 2 (2021),
12 June 2021
,
Page 133-138
https://doi.org/10.22037/irjps.v7i2.29583
Abstract
Intussusception is one of the major abdominal emergencies in children under two years of age. Double intussusceptions are rare, and the simultaneous ante grade and retrograde occurrence is even rarer. Fewer than 10 such cases have been reported in the pediatric population.
An 8-month-old girl was presented to a peripheral health center with paroxysmal abdominal pain for two days, as well as postprandial vomiting and four mucous stools. She was diagnosed with amoebic dysentery. Faced with the appearance of glairy-bloody stools, she was admitted to our pediatric emergency unit. After examination and abdominal ultrasound, the diagnosis of intussusceptions was made. On the fourth day, operative findings showed a double ante grade and retrograde pattern. A manual reduction followed by an appendectomy was performed. The postoperative course was uneventful.
Continuing education of peripheral practitioners will allow early diagnosis and appropriate treatment as this misdiagnosis could have compromised the vascular reserve of the bowel, resulting in intestinal ischemia and possibly perforation.
- Children
- Double intussusception
- Retrograde intussusception
How to Cite
References
Yu M, Fang Z, Shen J, et al: Double simultaneous intussusception caused by Meckel’s diverticulum and intestinal duplication in a child. J Intern Med Res 2018;46(8):3427-3.
Kiyan G, Tugtepe H, Iskit SH, et al: Double intussusception in an infant. J Pediatr Surg 2002;37:1643-4.
Seyi-Olajide J, Ademuyiwa A, Elebute O, et al: Double-site anterograde and retrograde idiopathic intussusception in an infant: a case report and review of literature. Ann Pediatr Surg 2018;14:192-4.
Destro F, Cantone N, Maffi M, et al: An interesting case of double compound intussusception without intestinal occlusion in a 5-year-old-boy. Eur J Pediatr Surg Rep 2014;2:20-2.
Arnold M, Sidler D, Moore S W: Compound colonic intussusception : a reason for a failure of pneumatic reduction. J Pediatr Surg 2010;45:E25-E28.
Lukong CS, Jabo BA, Nazish PA: Antegrade and retrograde intussusception coexisting in a 10-month old child. Sahel Med J 2010;13(4):109-110.
Shekhawat NS, Mathur P, Sharma RK, et al: Ileo-colic intussusception with an unusual retrograde colo-colic intussusception. J Pediatr Surg 1998;33:941-2.
Egbuchulem KI, Lawal TA, Nweke MC, et al: A case of compound intussusceptions in a Nigerian child - A rare finding in a common disease. Ann Ibadan Postgrad Med 2017;15(1):57-60.
Randimbinirina LZ, Raherison AR, Andriamanrivo LRC, et al: Double intestinal investigation with opposite migration: diagnostic difficulty and therapeutic implication. Rev Anesth Reanim Med Urg Toxicol 2019;11(2):4-6.
Davidson J, Wright NJ, Kufeji D: Differential diagnosis of double site intussusception in childhood: a 15-year-old girl presenting with bowel obstruction. BMJ Case Rep 2015; 2015.
Joseph T, Desai AL: Retrograde intussusception of sigmoid colon. J R Soc Med 2004;97:127-8.
Jolley H, Gefen AM, Ginsburg H, et al: Double ileoileal intussusception following surgical reduction of ileocolic intussusception in an 8-month-old female. J Pediatr 2017;180:208.
Takai A, Hasegawa T, Furukawa T, et al: Ultrasonographic findings of multiple intussusception in an extremely preterm infant. Arch Dis Child 2019;104:488.
Kazez A, Ozel SK, Kocakoc E, et al: Double intussusception in a child: the triple circle sign. J Ultrasound Med 2004;23:1659-61.
- Abstract Viewed: 100 times
- PDF Downloaded: 141 times