Ileocolic Intussusception in Radiological Imaging: A Case Report

Abstract

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.