Intussusception Secondary to a Meckels Diverticulum in an Adolescent

Abstract

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