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Case Reports
. 2023 Jun 12;15(6):e40325.
doi: 10.7759/cureus.40325. eCollection 2023 Jun.

Recurrent Intussusception in the Setting of Meckel's Diverticulum in an Infant

Affiliations
Case Reports

Recurrent Intussusception in the Setting of Meckel's Diverticulum in an Infant

Stedrea Hutchinson et al. Cureus. .

Abstract

Intussusception is a condition consisting of a proximal portion of the bowel contracting into a more distal bowel portion. The recurring act of intussusception is typically caused by a pathological lead point persisting within the bowel. The most common lead point for intussusception is a Meckel's diverticulum, which arises due to the incomplete obliteration of the omphalomesenteric canal causing a true diverticulum in the small bowel. This report outlines a case of a 10-month-old male infant who experienced three intussusception episodes, eventually requiring surgical intervention. A clinician's awareness of this phenomenon aids in implementing adequate treatment.

Keywords: infant intussusception; intussusception lead point; meckel´s diverticulum; pediatric intussusception; recurrent intussusception.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Day 1 abdominal ultrasound image showing the double target sign in the right lower quadrant
Figure 2
Figure 2. Day 1 X-ray gastrografin enema image showing the obstruction at the hepatic flexure
Figure 3
Figure 3. Day 1 X-ray gastrografin enema image showing the reduced obstruction
Figure 4
Figure 4. Day 2 abdominal ultrasound image showing the double target sign in the right upper quadrant
Figure 5
Figure 5. Day 2 X-ray gastrografin enema image showing the obstruction in the mid-transverse colon region
Figure 6
Figure 6. Day 2 X-ray gastrografin enema image showing the reduced obstruction
Figure 7
Figure 7. Day 3 abdominal ultrasound image showing the target sign in the right upper quadrant

References

    1. Systematic review shows that pathological lead points are important and frequent in intussusception and are not limited to infants. Fiegel H, Gfroerer S, Rolle U. Acta Paediatr. 2016;105:1275–1279. - PubMed
    1. Meckel's diverticulum: clinical features, diagnosis and management. Kuru S, Kismet K. Rev Esp Enferm Dig. 2018;110:726–732. - PubMed
    1. Meckel's diverticulum-revisited. Malik AA, Wani KA, Khaja AR. Saudi J Gastroenterol. 2010;16:3–7. - PMC - PubMed

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