Double Intussusception in a child presenting as Acute Abdomen- A case report. A Case of Double Intussusception in a child
Iranian Journal of Pediatric Surgery,
Vol. 10 No. 1 (2024),
4 Farvardin 2024
,
Page 98-106
https://doi.org/10.22037/irjps.v10i1.37285
Abstract
Double intussusception in children is an extremely rare entity with only 15 cases reported in medical literature till present.
An 18-month-old male child presented with features of intestinal obstruction. Evaluation showed an ileocolic intussusception on ultrasound. Initially, hydrostatic pressure reduction was attempted but was unsuccessful. Exploratory laparotomy revealed a double intussusception of ileo-ileal intussusception over colon and Meckel’s diverticulum as the lead point. The histopathology of the excised specimen revealed normal ileum and hypertrophic pancreatic tissue in the Meckel’s diverticulum.
The significance of early diagnosis and suspicion of double intussusception intraoperatively and the surgical management is emphasized in this case report.
- Intussusception
- Hydrostatic reduction
- Meckel’s Diverticulum
- Ultrasound
- Dry persimmon seed, date plum/ amlook, exploratory laparotomy, food bolus milking.
How to Cite
References
Bines JE, Ivanoff B: Acute intussusception in infants and children: Incidence, clinical presentation, and management: a global perspective [Internet]. World Health Organization; 2002 [cited 2017 May 10].
Yu M, Fang Z, Shen J, et al: Double simultaneous intussusception caused by Meckel's diverticulum and intestinal duplication in a child. J Int Med Res. 2018 Aug;46(8):3427-3434. PMC6134666.
Mustafa R: Double intussusception of the small bowel through a patent vitello-intestinal duct. Br J Surg1976; 63: 452.
Chen YH, Diau GY, Chang CH, et al: Double site intussusception in a four-year-old girl. J Med Sci2006; 26: 191–193.
Kazez A, Ozel SK, Kocakoc E, et al: Double intussusception in a child: the triple-circle sign. J Ultrasound Med. 2004 Dec;23(12):1659-61.
Di Grezia G, Gatta G, Rella R, et al:Abdominal Hernias, Giant Colon Diverticulum, GIST, Intestinal Pneumatosis, Colon Ischemia, Cold Intussusception, Gallstone Ileus, and Foreign Bodies: Our Experience and Literature Review of Incidental Gastrointestinal MDCT Findings. Biomed Res Int. 2017; 2017:5716835.
Scholz S, Loff, S: Double ileoileal intussusception caused by a giant polypoid mass of heterotopic pancreas in a child. Eur J Pediatr 159, 861–862 (2000). https://doi.org/10.1007/PL00008355
Sautot-Vial N, Steyaert H: Triple intussusception involving heterotopic pancreatic tissue: a case report. J Med Case Rep. 2009; 3:134. Published 2009 Nov 18. doi:10.1186/1752-1947-3-134
Destro F, Cantone N, Maffi M, et al: An Interesting Case of Double Compound Intussusception without Intestinal Occlusion in a 5-Year-Old Boy. European J Pediatr Surg Rep. 2014;2(1):20-22. doi:10.1055/s-0033-1361925
- Abstract Viewed: 70 times
- PDF Downloaded: 87 times