Ileocolic Intussusception in Radiological Imaging: A Case Report
DOI:
https://doi.org/10.57125/FEM.2023.12.30.06Keywords:
Ileocolic Intussusception, Polyp, Ultrasound-guided hydrostatic reduction, Radiological ImagingAbstract
Ileocolic intussusception is an abdominal emergency in infants and toddlers that requires immediate diagnosis and treatment.
Aims: The aim of this case report is to explain how cases of ileocolic intussusception can be diagnosed and treated quickly.
Methodology: This research is a descriptive study with a case report design on a patient.
Results: A baby girl, 3 months old, weighing 6 kg, was referred to the emergency unit with symptoms of vomiting, jelly-red stools, excessive crying, but not bloating. There was no history of fever, trauma, or previous eating. Found of decreased intestinal gas on plain abdominal radiographs, and the appearance of a target sign also known as the doughnut sign and sausage shape on ultrasound examination. Ultrasound-guided hydrostatic reduction has been attempted as a first-line non-operative treatment but failed. The results of the operation it was finally discovered that the cause of the ilecolic intussusception was a polyp.
Scientific Novelty: Reliability of ultrasound in finding and diagnosing ileocolic intussusception in infants.
Conclusion: Ultrasonography is the gold standard in finding and diagnosing ileocolic intussusception. Ultrasound-guided hydrostatic reduction is the first non-operative treatment before surgery becomes an option. Unsuccessful ultrasound-guided hydrostatic reduction may indicate that the ilecolic intussusception is caused by a polyp.
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