Clinical Images  |   April 2016
Ileocecal Intussusception
Author Notes
  • From Imaging Service at the VA New Jersey Health Care System in East Orange. 
  •  *Address correspondence to Michael A. Cook, DO, VA New Jersey Health Care System, 385 Tremont Ave, East Orange, NJ 07018-1023. E-mail: michael.cook2@va.gov
     
Article Information
Gastroenterology / Imaging / Clinical Images
Clinical Images   |   April 2016
Ileocecal Intussusception
The Journal of the American Osteopathic Association, April 2016, Vol. 116, 268. doi:10.7556/jaoa.2016.053
The Journal of the American Osteopathic Association, April 2016, Vol. 116, 268. doi:10.7556/jaoa.2016.053
A 68-year-old man with a history of Clostridium difficile colitis presented to the emergency department with recurrent abdominal pain and sudden-onset abdominal distension and vomiting. Physical examination revealed that the abdomen was soft, distended, and tender with hypoactive bowel sounds. A computed tomographic scan of the abdomen and pelvis (image A and image B) revealed an obstruction due to intussusception of the ileum into the cecum. The small bowel was diffusely distended. During a surgical procedure to remove the obstruction, an ileocecal intussusception was confirmed and a right hemicolectomy was performed. Histologic findings revealed acute ulcerative and pseudomembranous colitis with massive submucosal edema. The patient had an unremarkable recovery. 
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