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

Mehdizadeh, Mehrzad; Memarian, Sara; Khosravi, Rahman; Motamed, Farzaneh; Rahmani, Parisa; Saidi, Maryam; Mohsenipour, Reihaneh; Alimadadi, Hosein; Gharib, Behdad

doi:10.22038/ijp.2017.24155.2048

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

Authors

Mehrzad Mehdizadeh

Sara Memarian

Rahman Khosravi

Farzaneh Motamed

Parisa Rahmani

Maryam Saidi

Reihaneh Mohsenipour

Hosein Alimadadi

Behdad Gharib

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

10.22038/ijp.2017.24155.2048

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.

Keywords

Crohn disease

Intussusception

Burkitt lymphoma