Marrakchi Salma, Laridi Aya, Bouanane Rania, Allali Nazik, Chat Latifa, El Haddad Sihame
Paediatric Radiology Department, Ibn Sina University Hospital Center, Rabat, Morocco.
Radiol Case Rep. 2024 Nov 4;20(1):505-508. doi: 10.1016/j.radcr.2024.10.057. eCollection 2025 Jan.
Colocolic intussusception, a rare but significant condition in pediatric patients, involves the invagination of a segment of the colon into an adjacent segment. This phenomenon can result in various complications, such as bowel obstruction and ischemia, highlighting the importance of prompt diagnosis and intervention. Radiology plays a pivotal role in the identification and management of this condition, employing various imaging modalities to visualize the characteristic features of intussusception, ultrasound is the preferred imaging method due to its high specificity and sensitivity. We report the case of a 9-month-old male infant with colocolic intussusception involving the descending colon and sigmoid with no pathological lead point, which led to ischemia and necrosis, necessitating resection of the necrotic segments and anastomosis.
结肠套叠是儿科患者中一种罕见但严重的病症,指一段结肠套入相邻的结肠段。这种现象可导致各种并发症,如肠梗阻和缺血,凸显了及时诊断和干预的重要性。放射学在这种病症的识别和处理中起着关键作用,采用各种成像方式来显示套叠的特征性表现,超声因其高特异性和敏感性而成为首选的成像方法。我们报告一例9个月大男婴的病例,该患儿患有降结肠和乙状结肠的结肠套叠,无病理性引导点,导致了缺血和坏死,需要切除坏死段并进行吻合术。