Fiagbedzi Emmanuel, Arkorful Joseph, Appiah Emmanuel, Otumi Nicholas, Ofori Ishmael, Gorleku Philip Nii
University of Ghana, Department of Medical Physics, Accra, Ghana.
University of Cape Coast, College of Health and Allied Sciences, Department of Medical Imaging Technology and Sonography, Cape Coast, Ghana.
Radiol Case Rep. 2024 Aug 1;19(10):4451-4456. doi: 10.1016/j.radcr.2024.06.080. eCollection 2024 Oct.
This case report discusses the clinical presentation, imaging findings, and successful management of a rare case of intussusception in a 6-month-old female infant referred to a regional hospital in Ghana. The patient presented with vomiting, lethargy, fever, and currant jelly stool. Differential diagnoses considered included Merkel diverticulum, volvulus, lymphadenopathy, and hypertrophic pyloric stenosis. Ultrasound imaging revealed a concentric lesion with characteristic signs of intussusception. Ileo-caeco coli intussusception was confirmed as the diagnosis. Surgical management was used for this patient. The postsurgery phase was without any complications. The patient recovered well and was discharged with a switch to oral medications. Infant intussusception is still a disease with a low morbidity rate.
本病例报告讨论了一名6个月大女婴罕见肠套叠的临床表现、影像学检查结果及成功治疗情况,该女婴被转诊至加纳一家地区医院。患者出现呕吐、嗜睡、发热及果酱样大便。鉴别诊断考虑包括梅克尔憩室、肠扭转、淋巴结病及肥厚性幽门狭窄。超声检查显示一个具有肠套叠特征性征象的同心性病变。确诊为回盲结肠型肠套叠。该患者采用了手术治疗。术后阶段无任何并发症。患者恢复良好,改用口服药物后出院。婴儿肠套叠仍是一种发病率较低的疾病。