گزارش يك مورد انواژيناسيون ايليوايليال به علت ديورتيكول مكل در يك دختر 3/5 ساله

Ileoileal intussusception with a leading Meckelʹs diverticulum in a 3.5 years old girl

Intussusception is the most common cause of intestinal obstruction in children. Disease in typic form manifests itself by colic abdominal pain and episodic vomiting with bloody stool. In Ileoileal types, manifestations may not be typical. Diagnosis is based on clinical finding through barium enema and sonography. Treatment is nonsurgical reduction, and if contraindicated, surgical reduction. Our patient was a 3.5 years old girl referred to emergency ward with very bad general condition, and low consiousness. Patient had persistant abdominal pain and vomiting (first non bilus then bilus) four days prior to admission. In physical examination patient had severe hypotension, semishock and acute abdomen. After stabilization, patient was transferred to operation room. Intraoperation finding showed ileoileal intussusception with a leading Meckelʹs diverticulum. Following reduction, Meckelʹs diverticulectomy was done and after convulsence the patient was discharged from hospital with good general condition.