A case of ileal caecum intussusception mimicking rectal prolapse in a 4-month-old female infant

TL;DR

A rare case of ileal caecum intussusception in a 4-month-old infant was mistaken for rectal prolapse, highlighting the need for accurate diagnosis in infants with gastrointestinal symptoms.

Contribution

This case highlights the rare presentation of ileal caecum intussusception extending to the rectum, which can mimic rectal prolapse in infants.

Findings

Ileal caecum intussusception can present as a protruding anal mass in infants, leading to misdiagnosis as rectal prolapse.

Atypical presentations of intussusception may be missed, emphasizing the need for clinician suspicion in infants with gastrointestinal symptoms.

Intussusception extending to the rectum is rare and requires inclusion in the differential diagnosis of anal masses in infants.

Abstract

Ilea caecum Intussusception protruding to the level of anus is a rare manifestation and potentially serious condition in infants.

A four-month-old infant presented with a one-day history of non-projectile vomiting, three episodes, food contents, worsened by feeding, accompanied by intermittent low-grade fever, and one instance of passing black tarry stool. After outpatient treatment, the infant showed improvement for three days, but later the mother noticed a protruding, self-reducing anal mass, hence the suspected rectal prolapse, which was then Referred for further management.

Intussusception, the most frequent surgical emergency in infants and young children aged 3 to 6 months, is primarily idiopathic, with the ileocecal region being the most commonly affected (90 % of cases). However, when the intussusceptum advances to the anus, it's rare, often leading to misdiagnosis and mismanagement.

Intussusception of the colon should be added to the differential diagnosis of symptoms and the clinical picture of rectal prolapse.

•Ilea caecum intussusception advanced to the rectum is something to think out when encounter any infant with protruding mass par anus•Atypical presentation of ilea caecum intussusception is missing leading diagnosis hence clinician should be very suspicious when dealing with infant with GI conditions

Ilea caecum intussusception advanced to the rectum is something to think out when encounter any infant with protruding mass par anus

Atypical presentation of ilea caecum intussusception is missing leading diagnosis hence clinician should be very suspicious when dealing with infant with GI conditions

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