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Case Reports
. 2024 Feb 16:12:1363731.
doi: 10.3389/fped.2024.1363731. eCollection 2024.

Case Report: An unusual case of wide ileoileal intussusception associated with intestinal volvulus in a 8-months-old infant

Giorgia Romano  1 , Simone Frediani  1 , Ivan Pietro Aloi  1 , Arianna Bertocchini  1 , Valerio Pardi  1 , Antonella Accinni  1 , Alessandro Inserra  1
Affiliations
Case Reports

Case Report: An unusual case of wide ileoileal intussusception associated with intestinal volvulus in a 8-months-old infant

Giorgia Romano et al. Front Pediatr. .

Abstract

Introduction: Midgut volvulus and intussusception are prevalent paediatric abdominal emergencies. To the best of our knowledge, this is the first reported case of a connection between intestinal volvulus and a massive intussusception.

Case report: An 8-month-old male infant was brought to the emergency room with a history of abdominal pain and vomiting for <24 h. On physical examination, the child appeared restless and was found to have a circumferential hard mass of approximately 4 cm in diameter in the epigastric region. Upon admission, laboratory results showed a C-reactive protein level of 0.4 mg/dl, LDH level of 351 U/L, mild leukocytosis with a white blood cell count of 12 × 103 /µl, and 67% neutrophils. A physical exam was significant for abdominal distention, hyperresonance in percussion, and a palpable, painful epigastric mass. The findings of the operation included a dilated and ischemic intestinal loop, approximately 25 cm from the ileocecal valve, twisted upon itself for three turns. After de-rotation, an extensive occluding ileo-ileal invagination with an ischemic intestinal loop was identified, and a length of approximately 55-60 cm of the distal ileum, including the ischemic segment, was resected.

Discussion: This is the first reported case of a connection between intestinal volvulus and a massive intussusception. Currently, only two reported cases describe the connection between volvulus and intussusception, which are insufficient to establish a direct link between the two clinical conditions.

Keywords: abdominal pain; children; ileoileal intussusception; intestinal volvulus; intussusception.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.

Figures

Figure 1
Figure 1
The findings of the operation included a dilated and threatened intestinal loop, about 25 cm from the ileocecal valve, twisted upon itself for 3 turns. After de-rotation, an extensive occluding ileo-ileal invagination with an ischemic intestinal loop was identified, and approximately 55–60 cm of the distal ileum, including the ischemic segment, were resected.
See this image and copyright information in PMC

References

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