Expand ("E")   Collapse

Age: 1

Sex: Male

Indication: Abdominal pain

Save ("V")

Case #1


Findings

  • Masslike soft tissue density overlying the right upper quadrant
  • Nonobstructive bowel gas pattern
  • No pneumoperitoneum
  • No evidence of acute cardiopulmonary disease


Diagnosis

  • Intussusception

Sample Report

Masslike soft tissue density overlying the right upper quadrant, which though nonspecific raises concern for intussusception. Recommend ultrasound for further evaluation.


Discussion

  • Radiographic signs of intussusception include:
    • Soft tissue mass in the right hemiabdomen, which can have a targetoid appearance
    • Distal small bowel obstruction
    • Crescent of gas outlining the intussusceptum in the proximal colon
  • While many of the radiographic findings of intussusception are nonspecific, it is important to alert the clinician to the possibility of intussusception when there is evidence of distal small bowel obstruction and/or a mass-like soft tissue density in the right hemiabdomen


Images

Longitudinal view of an ileocolic intussusception in this patient (red arrows).

📣 Feedback?

⌨️  Keyboard Shortcuts ("K")

⌨️ Keyboard Shortcuts

View shortcuts

Zoom/Pan

  Full screen

  Window/Level

  Expand/collapse

  Scroll

  Save the case

  Close case/tab

Previous Slice (Scroll)

Next Slice (Scroll)

 Toggle presets

 Previous series (if multiple)

 Next series (if multiple)

  Previous case (⌘ ◄ on a mac)

  Next case (⌘ ► on a mac)