What's the Diagnosis? Case by Lauren Murphy

Diagnosis: Intussusception 

Intussusception

  • Due to a proximal portion of bowel entering a distal portion and then is pulled further forward via peristalsis.
  • If the intussusception remains for a long period of time, the involved bowel may become edematous and compromise blood flow; this could lead to ischemic bowel.
  • Imaging may includes plain demonstrating signs of bowel obstruction, but ultrasound should be considered as well. Ultrasound demonstrates the “target sign” demonstrated below
  • Treatment includes an air or water-soluble contrast enema