# Pivotal Surgical Intervention for Pediatric Ileoileal Intussusception With Meckel’s Diverticulum: A Case Report

**Authors:** Dheeraj Surya, Pankaj Gharde, Kavyanjali Reddy, Raju K Shinde, Harshal Tayade, Mihir Patil

PMC · DOI: 10.7759/cureus.60073 · Cureus · 2024-05-10

## TL;DR

A young child with a rare intestinal blockage caused by a congenital gut abnormality required urgent surgery to prevent severe complications.

## Contribution

This case report highlights the importance of timely surgical intervention in pediatric intussusception linked to Meckel’s diverticulum.

## Key findings

- Emergency surgery was performed to treat intestinal obstruction caused by ileoileal intussusception.
- The case underscores the need for prompt diagnosis to avoid life-threatening complications like bowel necrosis and sepsis.

## Abstract

The most prevalent congenital gastrointestinal tract abnormality is Meckel’s diverticulum. It is discovered in most instances incidentally. It can be observed as painless bleeding in the gastrointestinal tract. However, it can occasionally result in acute intestinal obstruction, which frequently masks the actual clinical presentation. This is a case of a four-and-a-half-year-old male child who presented with features of obstruction, which, on further evaluation, revealed ileoileal intussusception. An emergency surgical intervention was planned with an exploratory laparotomy and a reduction of intussusception. This case emphasizes the urgency of diagnosing and managing intussusception to prevent serious consequences such as bowel ischemia, bowel necrosis, bowel perforation, peritonitis, and sepsis. It stands as a stark reminder for medical professionals to stay vigilant for these critical gastrointestinal emergencies, and immediate treatment with a multidisciplinary approach is recommended to significantly enhance patient outcomes.

## Linked entities

- **Diseases:** intussusception (MONDO:0007835), peritonitis (MONDO:1010128)
- **Species:** Homo sapiens (taxon 9606)

## Full-text entities

- **Diseases:** bowel ischemia (MESH:D007511), sepsis (MESH:D018805), Ileoileal Intussusception (MESH:D007443), Meckel's Diverticulum (MESH:D008467), bowel perforation (MESH:D057112), peritonitis (MESH:D010538), congenital gastrointestinal tract abnormality (MESH:D005770), intestinal obstruction (MESH:D007415), obstruction (MESH:D000402), bleeding (MESH:D006470), bowel necrosis (MESH:D012778), gastrointestinal emergencies (MESH:D005767)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

8 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11163870/full.md

## References

18 references — full list in the complete paper: https://tomesphere.com/paper/PMC11163870/full.md

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Source: https://tomesphere.com/paper/PMC11163870