Abstract:
Intussusception is the introversion of the proximal intestinal loop into the distal downstream part of the intestinal loop, leading to gut wall oedema and restriction of blood supply. A high index of suspicion is required to diagnose it timely. Mostly infants aged less than a year are vulnerable to this surgical emergency presenting mostly with abdominal distension, vomiting, reluctance to feed and bright red jelly-like stools which, if left unrecognised, may result in the development of ischaemic portion of the gut and catastrophic outcomes. We present the case of a 60-day-old baby who presented in the Paediatric Emergency Department with progressive abdominal distension and bloody stools. Abdominal X-ray showed dilated bowel and ultrasound imaging showed a target sign positive for intussusception. The baby was rushed to the operating room (OR) due to delayed presentation, where an uneventful exploratory laparotomy was performed. Acute intestinal intussusception remains a cause of low morbidity and mortality rates if recognised earlier.