Toddler with bilious vomiting, crampy abdominal pain, bloody stools

Gastrointestinal
Air enema of ileocolic intussusception with edematous ileocecal valve mimicking residual ileocolic intussusception
AXR AP (left) showed an unremarkable bowel gas pattern. An air enema encountered a round soft tissue mass in the ascending colon which had been reduced to the ileocecal valve (above right) before reflux of large amount of air into the small bowel was seen. Post procedure AXR (below right) shows the large amount of air refluxed into the small bowel but there was a persistent round soft tissue mass at the ileocecal valve. US exam of this region then showed this round soft tissue mass was an edematous ileocecal valve.

The diagnosis was ileocolic intussusception that was successfully reduced with an edematous ileocecal valve mimicking a residual ileocolic intussusception.

Published