Idiopathic Ileo-ileal Intussusceptions: A Case Report and Brief Review of the Literature

Author(s):

Uzair Yaqoob*, Aatera Haq, Osama Mohiuddin, Masharib Bashar and Shoaib Bhatti

A disease influencing babies and little children is the definition of intussusception. It as a rule happens at the age of 5-9 months. Small bowel intussusceptions are extremely uncommon however here we report an instance of a 6-day old baby, with idiopathic ileoileal intussusception, conveyed to the emergency department with 1 day history of fever and fits. She was in respiratory distress on presentation. Urea and creatinine was notably raised. Primary diagnosis of acute kidney damage with sepsis was made and differentials of febrile seizures, CNS meningitis and epilepsy were considered. Bleeding per rectum and greenish vomiting (and aspirate after passing nasogastric tube) began on the second post admission day. We thought of intestinal atresia (ruled out on X-rays) or intussusception. Ultrasound recommended intussusception with no lead point (potentially ileo-ileal). Barium study additionally indicated ileo-ileal intussusception. After barium examination patient passed normal stools and her nasogastric tube demonstrated no extra aspirate. Nasogastric tube was evacuated after oral encouraging trial. Moreover, her laboratory values also improved. We did another ultrasound, which demonstrated no proof of intussusception. Oral intake was started and the patient was discharged. Our case features the fact that finding of intussusception in newborn children is extremely testing because of the variable clinical presentation and an expansive scope of differentials. Consequently, small bowel intussusceptions can easily be overlooked clinically. Furthermore, it also tells us the importance of conducting prompt investigations such as barium meals and ultrasound on toddlers presenting with nonspecific symptoms of small bowel intussusception.