Bidirectional intussusceptions in a 6-month old girl: a case report and literature review

Bidirectional intussusceptions in a 6-month old girl: a case report and literature review

Author by Dr. Clement Onuoha

Journal/Publisher: African Journal Of Paediatric Surgery

Volume/Edition: 1

Language: English

Pages: 123 - 126

Abstract

A six-month old girl was brought to the emergency room of Ebonyi State University Teaching, Abakaliki, Ebonyi State in Nigeria, with a five-day history of bilious vomiting, abdominal distention and passage of bloody, mucoid stool. Clinical examination revealed a vagus mass palpable at the left upper quadrant of the abdomen. Rectal examination showed presence of bloody mucoid stool; no masses were felt. the clinical impression was intussusception, which was confirmed at laparatomy. the intussuception however, consisted of two seperate segments in opposite directions to each other. One was an antegrade (ileo-ileo- caeco-colic) intussception that had migrated distally to the distal third of the transverse colon, while the other was a retrograde (sigmoidocolic) intussception that had migrated proximally to mee the on-coming ileo-colic intussception at the distal third of the transverse colon. Both segments were reduced successfully without the need for resection.


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