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- Title
Ileocolic intussusception mimicking the imaging appearance of midgut volvulus as a result of extrinsic duodenal obstruction.
- Authors
Gasparini, Flavia; Navarro, Oscar; Dasgupta, Roshni; Gerstle, J.; Thorner, Paul; Manson, David; Gasparini, Flavia F; Navarro, Oscar M; Gerstle, J Ted; Thorner, Paul S; Manson, David E
- Abstract
Duodenal obstruction caused by ileocolic intussusception in the absence of intestinal malrotation is extremely rare. We present and discuss the imaging findings in an infant with an intussusception secondary to a duplication cyst in whom sonography also showed inversion of the orientation of the mesenteric vessels and a distended stomach. A contrast medium study revealed a proximal duodenal obstruction with a beak appearance suggestive of midgut volvulus. At surgery, an ileocolic intussusception causing duodenal obstruction without concomitant malrotation or volvulus was found. The combination of duodenal obstruction and abnormal relationship of the mesenteric vessels as a result of ileocolic intussusception has not previously been reported in the literature.
- Subjects
INTUSSUSCEPTION in children; INTESTINAL intussusception; BOWEL obstructions; SMALL intestine; DUODENUM; SPHINCTER of Oddi; PEDIATRIC radiology; DIFFERENTIAL diagnosis; DIGESTIVE organ surgery; ILEUM diseases; MESENTERIC artery; ULTRASONIC imaging; MESENTERIC veins; VOLVULUS; DUODENAL obstructions; DISEASE complications; DIAGNOSIS
- Publication
Pediatric Radiology, 2005, Vol 35, Issue 12, p1246
- ISSN
0301-0449
- Publication type
journal article
- DOI
10.1007/s00247-005-1563-y