Authors : Dr. Pratick Baisakh; Dr. Mihir Dungrani; Dr. J. G. Bhatt; Dr. Divyang Chavda

Volume/Issue : Volume 10 - 2025, Issue 10 - October

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DOI : https://doi.org/10.38124/ijisrt/25oct1156

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Abstract : A 15-year old boy complained of stomach ache and vomiting when he arrived at the emergency room. Upon inspection, there was a palpable mass in his lower abdomen, although patient complained of mild abdominal pain. A jejunojejunal intussusception secondary to Meckel's diverticulum was discovered during the ultrasonography procedure, which confirmed the diagnosis of intussusception. The most prevalent cause of small bowel obstruction in children is intussusception, a surgical abdominal emergency that can occur at any age. Although it is a well-known cause of vomiting, bloody diarrhea, and stomach pain in infants, it is sometimes overlooked when assessing older children who exhibit same symptoms. However, since over one-third of instances manifest beyond the age of seven, it is crucial to take this diagnosis into account. Meckel's diverticulum, cancer, or polyps are among the underlying pathologies that are more likely to be linked to intussusception in older children. Any patient with isolated abdominal problems should have intussusception on the differential, and if an older child is diagnosed with it, it should be understood that it is most likely a subsequent condition to underlying pathology. The intussuscepted MD was discovered with focal necrosis following an urgent laparoscopic exploration that was later changed to an emergency exploratory laparotomy. Using primary anastomosis and hand suture, a segmental small bowel resection was carried out. Ultimately, the patient recovered from surgery without any complications and was still doing well at the time of the routine check-up.

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