Cover Image

Intussusception Secondary to a Meckels Diverticulum in an Adolescent



A 13-year-old girl presented to the Emergency Department with vomiting and abdominal pain. On                   examination, she had onlymild abdominal tenderness, but a mass was palpable in her right lower quadrant.                            Intussusception was diagnosed on ultrasoundand confirmed on computed tomography (CT) scan, and operative findings revealed a jejunojejunal intussusception secondary toMeckels diverticulum. Intussusception is a surgical abdominal              emergency, which can present in all ages but is the most commonreason for small bowel obstruction in childhood. It is a well-known cause of abdominal pain, vomiting, and bloody diarrhea ininfancy but often not considered when evaluating the older child with similar symptoms. However, consideration of this diagnosisis important, as more than 13 of cases              present beyond the age of 7. In older children,                           intussusception is more likely to be related to underlying  pathology, such as Meckels diverticulum, malignancy, or polyp. Intussusception should be on the differential in             anypatient with isolated abdominal complaints, and when it is diagnosed in an older child, it should be recognized that it is likelysecondary to underlying pathology


Full Text:



M. D. Stringer, S. M. Pablot, and R. J. Brereton, “Paediatric intussusception,” British Journal of Surgery, vol. 79, no. 9, pp. 867–876, 1992.

U. D. Parashar, R. C. Holman, K. C. Cummings et al., “Trends in intussusception-associated hospitalizations and deaths amongUS infants,” Pediatrics, vol. 106, no. 6, pp. 1413– 2000,

A. A. Cochran, G. L. Higgins III, and T. D. Strout, “Intussusception in traditional pediatric, nontraditional pediatric, and adult patients,” American Journal of Emergency Medicine, vol. 54, no. 3, p. S31, 2010.

J. L. Grosfeld, “Intussusception then and now: a historical vignette,” Journal of the American College of Surgeons, vol. 201, no. 6, pp. 830–833, 2005.

O. Karatepe, M. T¨ukenmez, K. H¨unerli et al., “Ascaris as a leading point for small-bowel intussusception in an adult: a rare cause of intussusception,” American Journal of Emergency Medicine, vol. 26, no. 3, pp. 381e3–381e4, 2008.

R. S. Mehta, “Jejunal intussusception as an unusual cause of abdominal pain in an adult,” McGill Journal of Medicine, vol. 12, no. 1, pp. 28–30, 2009.

G. Retrosi, L. Nanni, F. M. Vecchio et al., “Solitary peutzjeghers polyp in a paediatric patient,” Case Reports in Gastroenterology, vol. 4, no. 3, pp. 452–456, 2010.

C. V. Pollack Jr. and E. S. Pender, “Unusual cases of intussusception,” Journal of EmergencyMedicine, vol. 9, no. 5, pp. 347– 355, 1991.

R. T. Blakelock and S. W. Beasley, “The clinical implications of non-idiopathic intussusception,” Pediatric Surgery International, vol. 14, no. 3, pp. 163–167, 1998.

M.Waseem and H. K. Rosenberg, “Intussusception,” Pediatric Emergency Care, vol. 24, no. 11, pp. 793–800, 2008.

T. H. Lee, J. O. Kim, J. J. Kim et al., “A case of intussuscepted Meckel’s diverticulum,” World Journal of Gastroenterology, vol. 15, no. 40, pp. 5109–5111, 2009.

D. St-Vil, M. L. Brandt, S. Panic, A. L. Bensoussan, and H. Blanchard, “Meckel’s diverticulum in children: a 20-year review,” Journal of Pediatric Surgery, vol. 26, no. 11, pp. 1289– 1292, 1991.

M. Yamaguchi, S. Takeuchi, and S. Awazu, “Meckel’s diverticulum. Investigation of 600 patients in Japanese literature,” American Journal of Surgery, vol. 136, no. 2, pp. 247–249, 1978.

C. F. Davis, A. J.McCabe, and P. A.M. Raine, “The ins and outs of intussusception: history andmanagement over the past fifty years,” Journal of Pediatric Surgery, vol. 38, no. 7, supplement, pp. 60–64, 2003


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University