| CASE REPORT WITH REVIEW OF LITERATURE |
|
| Year : 2023 | Volume
: 3
| Issue : 3 | Page : 150-153 |
|
|
Double-site intussusception in an infant: A case report with review of literature
Rahul Gupta, Monish Raj, Arvind Kumar Shukla, Ravindra Sevar
Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India
Correspondence Address:
Dr. Rahul Gupta
Associate Professor, Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ipcares.ipcares_258_22
|
|
|
Background: Although intussusception is a well-known phenomenon in childhood, double-site intussusception is rarely encountered. We report an interesting case of idiopathic double-site, two ileoileal intussusceptions. Clinical Description: An 11-month-old baby girl presented with acute-onset vomiting and abdominal distension over 3 days. There was no associated history of fever, respiratory tract infection, or gastroenteritis. The infant was otherwise healthy, thriving well, without any significant medical or surgical illness in the past. On examination, the infant was alert, but irritable, hemodynamically stable, with abdominal distension without any lump or organomegaly. Management: The infant was stabilized with supportive care initially. The abdominal radiograph revealed multiple air–fluid levels with a paucity of distal gas shadows. Ultrasound showed a single-target sign in the right lumbar region. At laparotomy, an ileoileal intussusception was detected. During manual reduction, another intussusception was identified; the distal one was also ileoileal at the terminal ileum with its apex at the ileocecal junction. Both intussusceptions were successfully reduced. No pathological lead point was observed for each intussusception. Symptoms resolved, and there was no recurrence. Conclusion: This case creates awareness about the rare occurrence of double-site intussusceptions, which are not always detected by imaging methods. A careful inspection of the entire gut intraoperatively is essential to avoid missing such unsuspected second intussusceptions.
|
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
