Pediatr Gastroenterol Hepatol Nutr.  2015 Jun;18(2):134-137. 10.5223/pghn.2015.18.2.134.

A Case of Intussusception with Acute Appendicitis

• Kee HM
• Park JY
• Yi DY
• Lim IS

• KMID: 2315561
• DOI: http://doi.org/10.5223/pghn.2015.18.2.134

Abstract

In children presenting to hospital with gastrointestinal symptoms, diseases such as intussusception and acute appendicitis require particular attention and careful examination. Early diagnosis and proper treatment are important because of possible severe complications such as peritonitis and death. Intussusception and appendicitis share similar clinical manifestations. More importantly, the presence of acute appendicitis together with intussusception in children is very rare. We describe an interesting case of a 38-month-old boy who presented with abdominal pain in the right lower quadrant. His vital signs were stable and laboratory test findings showed no specific alterations. We detected tenderness in the right lower quadrant. A computed tomography scan showed an ileocolic intussusception with no strangulation and diffuse wall thickening of the appendix trapped within the intussusception. The patient underwent an appendectomy and manual reduction.

Keyword

Intussusception; Appendicitis

MeSH Terms

Abdominal Pain
Appendectomy
Appendicitis*
Appendix
Child
Child, Preschool
Early Diagnosis
Humans
Intussusception*
Male
Peritonitis
Vital Signs

Figure

• 

  Fig. 1 Abdominal radiograph. (A) Erect positon, (B) supine position. Abdominal radiograph showing a mild generalized ileus with no specific findings.

• 

  Fig. 2 Abdominal pelvic computed tomography. (A) Intussusceptions: ileocolic type intussusception without strangulation and significant obstruction (axial view, arrow). (B, C) Appendicitis: diffuse and mild wall thickening of the appendix partially trapped in the intussusception (B: axial view, C: coronal view; arrows).

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