Double simultaneous intussusception caused by Meckel’s diverticulum and intestinal duplication in a child

Abstract

Intussusception is common in children. Double simultaneous intussusception is a peculiar variety of intussusception with only 14 previously reported cases. We report a unique case of a child who suffered from double simultaneous intussusception with two lead points (Meckel’s diverticulum and intestinal duplication). The patient was successfully treated with manual reduction along with resection of Meckel’s diverticulum and intestinal duplication. The child recovered well.

Two simultaneous intussusceptions in a neonate with DiGeorge syndrome: A case report

“…[8] Preoperative detection of simultaneous intussusceptions has not been described in neonates though it is described in children. [9] In our patient, only one intussusception was reported on ultrasound. This may not affect the decision for operative management.…”

The Ileoileal intussusception due to a tubular duplication in a child: A case report

“…As many children with intussusceptions caused by pathologic lead points may present with nonclassic symptoms, a specific diagnosis must be determined by diagnostic examination using radiologic imaging. The best options for confirming intussusception caused by a duplication cyst or lymphoma in the hands of an experienced examiner are ultrasonography and reduction enema, but less so for a Meckel's diverticulum 2–5,7–9 …”

“…In the literature, we found a few cases of children with ileoileal intussusception secondary to tubular ileal duplication. 5,15…”

“…It can occur in children aged 6 months to 2 years, and the most common type is idiopathic ileocolic intussusception. [1][2][3][4][5][6] It formerly had significant mortality and morbidity rates, but with advancements in diagnosis and efficient treatment, a good outcome was achieved. 2 Ischemia and perforation of the intestinal wall are probable in cases where treatment is delayed, with an unfavorable prognosis.…”

Simultaneous Double Intussusception in a Patient with Cystic Fibrosis

“…Yu et al reported 15 cases of double simultaneous intussusceptions with 5 idiopathic, 8 involving lead points, and 2 postoperatively. 4 In our patient, cystic fibrosis (CF) was considered, given multiple small bowel intussusceptions along with the patient's chronic gastrointestinal complaints and thin body habitus. Sweat chloride testing results were intermediate at 53 and 58 mmol/L, with values >60 mmol/L indicative of CF.…”