Recurrent Intussusception in a Pediatric Patient: The Role of the Mesoappendix as a Potential Culprit

Intussusception, a condition in which one part of the intestine telescopes into another, primarily affects children under 18 months of age. This case report details the radiologic findings in a six-year-old child with a long-standing history of recurrent ileocolic intussusception, who presented with abdominal pain and was diagnosed with intussusception-associated appendicitis. Following the fifth recurrence, the patient underwent laparoscopic reduction of the intussusception and appendectomy. Surgical findings revealed an inflamed appendix, prominent mesoappendix, and adhesions with mesenteric fat, which likely contributed to the recurrent episodes. This case underscores the importance of considering anatomical anomalies in the differential diagnosis to optimize management and prevent further recurrences.

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Publication Details

Journal
Cureus
Published
2024-11-28
DOI
https://doi.org/10.7759/cureus.74695
Primary Topic
Gastrointestinal disorders and treatments
Type
article
Field-Weighted Citation Impact
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article

Recurrent Intussusception in a Pediatric Patient: The Role of the Mesoappendix as a Potential Culprit

Brandon Zarnoth, Ravikumar Hanumaiah, Anand Majmudar, Antonio Santana Veliz et al.
Cureus
Gastrointestinal disorders and treatments
article

Recurrent Intussusception in a Pediatric Patient: The Role of the Mesoappendix as a Potential Culprit

Brandon Zarnoth, Ravikumar Hanumaiah, Anand Majmudar, Antonio Santana Veliz, Danielle Passafiume
article en

Abstract

Intussusception, a condition in which one part of the intestine telescopes into another, primarily affects children under 18 months of age. This case report details the radiologic findings in a six-year-old child with a long-standing history of recurrent ileocolic intussusception, who presented with abdominal pain and was diagnosed with intussusception-associated appendicitis. Following the fifth recurrence, the patient underwent laparoscopic reduction of the intussusception and appendectomy. Surgical findings revealed an inflamed appendix, prominent mesoappendix, and adhesions with mesenteric fat, which likely contributed to the recurrent episodes. This case underscores the importance of considering anatomical anomalies in the differential diagnosis to optimize management and prevent further recurrences.

CureusVol. 16(11)
SUNY Upstate Medical University (US)
Gender equality
Openalex Percentile: Top 59%
Gastrointestinal disorders and treatments
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