A rare case: ileo-ileal intussusception with acute appendicitis


  • Raadhika Raja Department of Surgery, Sri Devraj Urs Medical College, Kolar, Karnataka, India
  • P. N. Sreeramulu Department of Surgery, Sri Devraj Urs Medical College, Kolar, Karnataka, India
  • Srinivasan D. Department of Surgery, Sri Devraj Urs Medical College, Kolar, Karnataka, India
  • Rahul Singh R. Department of Surgery, Sri Devraj Urs Medical College, Kolar, Karnataka, India




Appendicectomy, Appendicitis, Borborygmi, Flatus, Ileo-colic, Ileo-ileal, Intussuception, Toddler


The occurrence of intussusception and appendicitis in the same patient has seldom been described in the pediatric population. Authors report a case of two- level ileo- ileal intussusception associated with acute appendicitis. A 2-year-old boy presented with colicky abdominal pain, vomiting and non-passage of stools and flatus since 4 hours. On physical examination, he was irritable and restless. Abdomen was distended, borborygmi was heard on auscultation, ultrasound of abdomen suggested ileocolic intussusception. Emergency laparotomy was performed and an ileoileal intussusception was visualized and was reduced manually. After reduction, appendix was visualized, and it was found to be inflamed and elongated. Appendectomy was performed. Authors present this case because of its rarity in occurrence in a toddler in a rural setup as ours.


Shelton T, McKinley R, Schwartz RW. Acute appendicitis: current diagnosis and treatment. Current Surg. 2003 Oct;60(5):502-5.

Rothrock SG, Skeoch G, Rush JJ, Johnson NE. Clinical features of misdiagnosed appendicitis in children. Annals of emergency medicine. 1991 Jan 1;20(1):45-50.

Curran TJ, Muenchow SK. The treatment of complicated appendicitis in children using peritoneal drainage: results from a public hospital. J Pediatr Surg. 1993;28:204-8.

Barker AP, Davey RB. Appendicitis in the first three years of life. Aust N Z J Surg. 1988;58:491-4.

Bartlett RH, Eraklis AJ, Wilkinson RH. Appendicitis in Infancy. Surg Gynecol Obstet. 1970;130:99-105.

Vermiform Appendix.” Bailey and Love Short Practices of Surgery, 26th ed., Hodder Arnold, an Imprint of Hodder Education, an Hachette UK Company, 338 Euston Road, London NW1 3BH, 2008, p. 1204.

“Intussusception” Schwartz Principles of surgery, 10th Ed., McGraw Hill Education, 2015, p.1170

Ksia A, Mosbahi S, Brahim MB, Sahnoun L, Haggui B, Youssef SB, et al. Recurrent intussusception in children and infants. Afr J Paediatr Surg. 2013 Oct;10(4):299.

Mills RW, McCrudden K, Gupta VK, Britton A, Al Qahtani M, Hasan RA. Intussusception caused by heterotopic pancreatic tissue in a child. Fetal Paediatr Pathol. 2011 Mar;30(2):106-10.

Sonmez K, Turkyilmaz Z, Demirogullari B, Karabulut R, Kale N, Basaklar A. Intussusception in children: Experience with 105 patients in a department of paediatric surgery, Turkey. South Afr J Surg. 2012 May;50(2):37-9.

Das P, Jones D. Chromosomal microarray testing in children: Experience from a New Zealand secondary care hospital. J Paediatrics Child Health. 2014 Jul;50(7):574-5.

Kang J, Lee KY, Sohn SK. Cecocolic intussusception in adult caused by acute appendicitis. Case Reports Surgery. 2014 Feb;2014.

Christianakis E, Sakelaropoulos A, Papantzimas C, Pitiakoudis M, Filippou G, Filippou D, et al. Pelvic plastron secondary to acute appendicitis in a child presented as appendiceal intussusception. A case report. Cases J. 2008;1(1):135.






Case Reports