Colocolic intussusception without lead point; a case report and literatare review

Colocolic intussusception is rare in children and most cases in adolescents are
produced by a lead-point. A review of the English-written literature revealed only three cases of
colocolic intussusception without lead point.
Case presentation: A seven year-old boy with chief complaint of colicky abdominal pain and
vomiting for five days, dysentery for 4 days, and no response to antibiotic therapy, increasing
pain and abdominal distension was referred to pediatric gastroenterologist. Abdominal x-ray
revealed multiple air-fluid levels and gasless colon. Pseudo-kidney appearance was reported in
abdominal ultrasound at splenic flexure. Colocolic intussusception diagnosis without any lead
point was confirmed in laparotomy and reduced with milk-out procedure.
Conclusion: In children with dysentery especially in presence of colicky abdominal pain,
abdominal distention and no response to antibiotic therapy, abdominal ultrasound to rule out
intussusception is recommended.