Intussusception secondary to a Meckel’s diverticulum in a 6-month-old male
- Journal of Pediatrics & Neonatal Care
Vanessa Rallis, Patrick Cazilas, Shane Rainey
The differential diagnosis in a vomiting infant can be extensive, ranging from the benign viral gastroenteritis and gastro esophageal reflux to serious bowel pathologies such as intussusception and malrotation. Intussusception occurs when a proximal bowel segment becomes trapped in a distal bowel segment, most commonly in the ileocecal region, and can infrequently involve an anatomic lead point such as intestinal polyps, cancer, inflammatory patches, enteric duplication cysts, or a Meckel’s diverticulum. We present a case of a 6-month-old male admitted with presumed viral gastroenteritis who was found to have a necrotic Meckel’s diverticulum associated intussusception requiring open laparotomy for correction. Clinicians should cultivate a high index of suspicion for intussusception in the vomiting child, as the diagnosis can be elusive and have serious consequences if unrecognized.
c-reactive protein, infant, decompression, ultrasound, hematochezia, abdominal, radiograph, radiology, diagnostic, gastroenteritis, ascending colon