Double Ileoileal Intussusception Following Surgical Reduction of Ileocolic Intussusception in an 8-Month-Old Female

Abstract

Figure 2. Abdominal ultrasound scan at initial presentation (preoperative) showing a target sign, consistent with ileocolic intussusception. A large intussusception visualized in the left lower quadrant of the abdomen measuring approximately 3 cm in anteroposterior dimension and at least 5 cm in length. Trapped peritoneal fluid is seen within the intussusceptions.

Double simultaneous intussusception caused by Meckel’s diverticulum and intestinal duplication in a child

“…Additionally, X-ray and computed tomography are important auxiliary methods. 20 Among all of the cases of double intussusception, only eight patients (including our patient) 5,7,9,12,14,15,17 were diagnosed before surgery, while the remaining seven patients were diagnosed during intraoperative inspection.…”

“…The postoperative status is another factor that should be taken into consideration. Two previous cases of double intussusception occurred after initial operations within 5 days, including exploratory 5 laparotomy and bilateral partial nephrectomy.…”

“…Only 14 cases of double intussusception have been reported. [4][5][6][7][8][9][10][11][12][13][14][15][16][17] Double simultaneous intussusception may be mainly attributed to an explicit lead point, the idiopathic status, or even the postoperative status. The lead point is the main factor, including a patent vitellointestinal duct, heterotopic pregnancy, ileal polyp, angiolipoma, lipoma, and Peutz-Jeghers syndrome.…”

“…To date, only 14 cases of double intussusception (Table 1) have been reported. [4][5][6][7][8][9][10][11][12][13][14][15][16][17] Occurrence of double simultaneous intussusception with two explicit leading points has not been previously reported.…”