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Case Reports
. 2021 Nov 24:8:2333794X211059110.
doi: 10.1177/2333794X211059110. eCollection 2021.

A Child's Acute Intestinal Intussusception and Literature Review

Romeo Thierry Yehouenou Tessi  1 , Siham El Haddad  1 , Koudouhonon Rita Oze  1 , Wend-Yam Mohamed Traore  1 , Jusly Amour Dinga Ekadza  2 , Nazik Allali  1 , Latifa Chat  1
Affiliations
Case Reports

A Child's Acute Intestinal Intussusception and Literature Review

Romeo Thierry Yehouenou Tessi et al. Glob Pediatr Health. .

Abstract

Acute intestinal intussusception remains a surgical emergency in infants and young children aged 3 months to 3 years. It results from the incarceration of the upstream intestinal segment in the downstream segment. In the majority of cases it is idiopathic, but can be secondary to certain pathologies notably Meckel's diverticulum. The site is most often ileo cecal. The symptomatological triad is made up of pain, vomiting, and rectal bleeding. The diagnosis is confirmed by imaging, dominated by ultrasound which remains the reference imaging. We report the case of a 3 year-old boy, followed for a malformation who presented with abdominal distension, abdominal pain, and rectal bleeding. The diagnosis of acute ileo-ileal intussusception was made. After an attempt at hydrostatic reduction under ultrasound guidance, he underwent surgical management. The postoperative period was simple and uncomplicated. Intestinal intussusception remains a pathology with a low morbidity and mortality rate of 0% to 1% due to delayed diagnosis and delayed therapeutic management.

Keywords: acute intestinal intussusception; child; enema reduction; scanner; surgery; ultrasound.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Ultrasound shows aspect of intestinal intussusception as succession of hypoechoic digestive layers on transversal section with target appearance (A) and longitudinal section so-called “sandwich” (B).
Figure 2.
Figure 2.
Enhanced abdominopelvic CT scan shows proximal intestinal intussusception (ileo ileal), with so-called “sandwich” on coronal and axial slice (A-C) and a cocoon-like appearance (B), with turgidity of the intra-lesional vessels (red arrows).
Figure 3.
Figure 3.
Post operative appearance of intestinal intussusception (A, B), without any intestinal segment abnormally.
See this image and copyright information in PMC

References

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