Ileocolic intussusception in a 9-month-old
Patient
9mo · Female
Date
9 Sept 2026
Chief Complaint
Episodes of screaming and drawing up her legs, red jelly stool for 18 hours
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Clinical Case
age
9 months
sex
F
Episodes of screaming and drawing up her legs, red jelly stool
Duration
18 hours
History of Present Illness
onset
Sudden
course
Intermittent colicky episodes every 15–20 minutes
associated symptoms
- Vomiting
- Lethargy between episodes
- Red currant jelly stool
medical
Viral upper respiratory infection last week
vitals
HR
150
RR
36
TEMP
37.9
weight
8.4 kg
general
Pale, lethargic between episodes, mildly dehydrated
systemic
abd
Sausage-shaped mass in the right upper quadrant, empty right iliac fossa
imaging
- Ultrasound: target sign in the right upper quadrantDay 0
labs
- CBC: WBC 13.2 × 10⁹/L
primary diagnosis
Ileocolic intussusception
differentials
- Acute gastroenteritis
- Meckel's diverticulum
medications
- IV fluids, 20 mL/kg bolusOn arrival
procedures
- Pneumatic (air) enema reduction under fluoroscopy, successfulDay 0
follow up
Observe 24 hours for recurrence, then discharge