Abdominal pain in a 7-year-old male

Maria Raissaki, Eftichia Stiakaki


A 7-year-old male presented with abdominal pain of one day duration. An ultrasound (US) diagnosis reported atypical ileocolic intussusception and adjacent hypoechoic nodes, suggesting a possible lead point. Computed Tomography (CT) scan was performed for further investigation (Figs. 1-2). Following a failed fluoroscopic reduction, an ileocolic intussusception was surgically reduced without visible or palpable external macroscopic bowel abnormality. Biopsy of a mesenteric node came back as hyperplasia. Patient’s postoperative US by an inexperienced operator was unrevealing. Four months later the patient presented with abdominal  distention and palpable abdominal masses. A repeat CT scan was performed (Figs. 3-6).


Secondary intussusception; Peritoneal lymphomatosis; Child; CT

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DOI: http://dx.doi.org/10.36162/hjr.v4i3.324


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