Simultaneous occurrence of jejuno-jejunal and ileo-ileal intussusception in a child: a rare occurrence

Abstract

SummaryIntussusception is the most common cause of intestinal obstruction in infants and children. This condition is frequent in children and presents with the classic triad of cramping abdominal pain, bloody diarrhoea and a palpable tender mass. Small bowel intussusceptions are much less common, with jejuno-ileal and duodeno-jejunal intussusceptions being the rarest types of all. Multiple simultaneous intussusception is a peculiar variety of intussusception. The authors report the simultaneous occurrence of jejuno-jejunal and ileo-ileal intussusception in a patient. As this is an extremely uncommon entity, it is being reported with a brief review of the relevant literature.

Multiple Ileo-ileal Intussusceptions in a 3-Year-Old Child

“…Intussusception is the leading cause of intestinal obstruction in childhood and patients may present with non-specific symptoms, only one-fourth presenting with the classic triad of vomiting, abdominal pain and bloody stools (5). In our case clinical course was not typical but early US examination revealed intussusceptions.…”

“…There are several types of isolated small bowel intussusceptions like ileo-ileal, jejunojejunal, jejuno-ileal and duodeno-jejunal types (5). We observed four ileoileal invaginated segments during laparotomy.…”

“…We observed four ileoileal invaginated segments during laparotomy. Howeover small bowel intussusception is not so common there have been previous reports describing multiple intussusceptions (3,5). The majority of intussusceptions in pediatric patients have a demonstrable causative lesion such as polyps, lipomas, Meckel diverticulum, intestinal duplication, Henoch-Schonlein purpura, lymphomas, hypertrophied Peyer patches secondary to infection, adenovirus infection, foreign bodies, parasitic infestations, celiac disease, and cystic fibrosis (7,8).…”

Multiple ileo-ileal intussusception associated with duodenal atresia in a 5-day-old infant: case report

“…Presenting symptoms vary between patients. The classic triad of vomiting, abdominal pain, and bloody stools was only found in one fourth of the total patients [6]. The correct diagnosis of intussusception can only be made clinically about 50% of the time.…”

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

“…Double (simultaneous) intussusceptions are rare, with only 10 cases identified, none of which occurred after reduction of a primary intussusception. [8][9][10] The reported cases included double ileoileal, double ileocolic, double colocolic, simultaneous ileocolic and ileoileal, and simultaneous jejunojejunal and ileoileal. 8…”