6 months old
baby girl with no known medical illness and post weaning one week was brought
to hospital by her mother after developing diarrhea, vomiting and fever for one
day. The mother describes the diarrhea as a watery stool associated with mucous
and blood streak.
This is the
picture of her abdominal X ray which shows small bowel dilatation (as evidence
of central position and valvulae) and thickening of the bowel wall at right
lower quadrant. There was no free gas and no paucity of the bowel gas. Ultrasound
abdomen shows classical sign of intussusception which is a “Target Lesion”
sign. A diagnosis of Subacute Intestinal Obstruction Secondary to Intussusception was made
and patient was then posted for emergency laparotomy for reduction of
intussusception, KIV bowel resection and end to end anastomosis. Intra
operatively, there was a ileo-colic intussusception with bluish discoloration
of bowel. Otherwise the integrity of the bowel still preserve and the color
return to pinkish color after warm packing. Post operatively was uneventful.
Notes: Credited to Dr Juhara Haron (Radiologist USM) for guidance in interpreting the X Ray
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