A 13.5- Year Old Boy with Abdominal Pain and Weight Loss and Chronic Intussusception

Authors

Behdad Gharib Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Farzaneh Motamed Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Hosein Alimadadi Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Maryam Saidi Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Mehrzad Mehdizadeh Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Parisa Rahmani Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Rahman Khosravi Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Reihaneh Mohsenipour Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Sara Memarian Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Abstract:

We present a 13.5 year old boy with chronic intussusception that was misdiagnosed as Crohn disease and received treatment for the wrong diagnosis. Because his condition didn’t improve, more work-ups were performed and the radiologic work-ups revealed the diagnosis of a missed intussusception with fistula.We suggest that prolonged intussusception should be considered in the list of differential diagnosis for the refractory abdominal pain and distention, bloody diarrhea, and radiologist consultancy should be requested, as Crohn disease, infectious gastroenteritis, abdominal malignancies and prolonged intussusception should be carefully investigated and considered in such situations.

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