Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
Rippel, Sara W MD*; Olivé, Anthony P MD†; Wesson, David E MD†,‡; Oesterreicher, Sandy H MD†; Wilsey, Michael J Jr, MD*
*Department of Pediatrics, University of South Florida College of Medicine, Tampa, USA
†Departments of Pediatrics, USA
‡Surgery, Baylor College of Medicine, Houston, Texas, USA
The authors report no conflicts of interest.
An 11-year-old girl presented with acute abdominal pain after a 5-month history of intermittent colicky abdominal pain associated with nonbilious vomiting and weight loss. An ileo-ileocolic intussusception was noted on ultrasound, but the barium enema was negative. During diagnostic colonoscopy, a spontaneous ileo-ileocolic intussusception occurred at the level of the hepatic flexure. Endoscopic air insufflation was used to successfully reduce the large mass down to the cecum, through the ileocecal valve, to a level proximal to the ileum. Subsequent Meckel's scan was negative and the patient was discharged home after close observation. Her symptoms recurred and a Meckel's diverticulum was found at laparotomy.
Ileo-ileocolic intussusception due to Meckel's diverticulum is a rare occurrence. In the literature, there are only a handful of case reports, of both children and adults, that describe an intussusception due to Meckel's diverticulum (1). There are more than 1 dozen cases in the adult and pediatric literature in which colonoscopy was instrumental in the diagnosis and/or reduction of colonic intussusception (2). This case highlights the endoscopic findings.
Submissions for the Image of the Month should include high-quality TIF endoscopic images of unusual or informative findings. In addition, 1 or 2 other associated photographs, such as radiological or pathological images, can be submitted. A brief description of no more than 200 words should accompany the images. Submissions are to be made online at www.jpgn.org, and will undergo peer review by members of the NASPGHAN Endoscopy and Procedures Committee, as well as by the Journal.
© 2008 Lippincott Williams & Wilkins, Inc.
Colleague's E-mail is Invalid
Your Name: (optional)
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at Journal of Pediatric Gastroenterology and Nutrition.
Send a copy to your email
Your message has been successfully sent to your colleague.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection
Article Level Metrics