Toddler with 4 days of abdominal pain and feculent vomiting

Gastrointestinal
US and radiograph and air enema of ileocolic intussusception caused by Meckel diverticulum
Transverse US of the right lower quadrant (above) shows a round structure with a hyperechoic center and a hypoechoic rim (target sign). AXR supine (below left) shows multiple dilated loops of air-filled small bowel. Final AP image from an air enema exam (below right) shows an air filled colon with a large oval soft tissue mass in the cecum.

The diagnosis was an ileocolic intussusception resulting in a distal small bowel obstruction. The ileocolic intussusception could not reduced by air enema and at surgery the lead point for the ileocolic intussusception was found to be a Meckel diverticulum.

Published