Cystic intestinal duplication-induced secondary intussusception with associated incidental Meckel’s diverticulum in an infant: a case report with literature review

Clicks: 1
ID: 310223
2025
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal

Ranked #488 of 490 articles by views in Frontiers in surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 490 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
BackgroundSecondary intussusception in children is associated primarily with organic intestinal pathologies. Intestinal duplication constitutes an uncommon lead point for such cases, while its co-occurrence with an incidentally discovered Meckel's diverticulum represents an exceptionally rare clinical scenario. This report describes an 8-month-old female infant who presented with secondary intussusception initially attributed to a cystic intestinal duplication, with Meckel's diverticulum discovered incidentally during surgical exploration.Case presentationAn 8-month-old female infant was admitted with recurrent vomiting, intermittent fever, and episodes of intense abdominal pain. Abdominal ultrasound revealed ileocolic intussusception and a cystic mass (3.5 cm × 3.0 cm × 3.0 cm) near the ileocecal junction. After unsuccessful air enema reduction, emergency surgery was performed. During the operation, intussusception was found to be caused by cystic intestinal duplication, which acted as the primary lead point. Notably, a separate Meckel's diverticulum (measuring 2.5 cm × 2.0 cm × 1.5 cm in diameter) was discovered incidentally 30 cm proximal to the ileocecal valve on the antimesenteric border of the ileum, demonstrating no pathological connection to the intussusception. Both lesions were surgically removed. Pathological examination confirmed a cystic intestinal duplication and a Meckel's diverticulum containing ectopic gastric tissue. The patient recovered well postoperatively and showed no recurrence of symptoms over a 30-month follow-up period.ConclusionsIn pediatric patients with secondary intussusception caused by enteric duplication, meticulous intraoperative evaluation following successful reduction is critical to identify concurrent intestinal anomalies, including inverted Meckel's diverticulum—a potential lead point for secondary intussusception. This case highlights the incidental discovery of a coexisting Meckel's diverticulum, which was prophylactically excised despite lacking immediate pathological relevance. Systematic exploration combined with tailored resection strategies ensures definitive resolution of intussusception and long-term complication prevention in such rare dual-pathology presentations.
Reference Key
imported_1768925651_696fa9d323baf Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Kong, Meng
Journal Frontiers in surgery
Year 2025
DOI
10.3389/fsurg.2025.1629836
URL
https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2025.1629836/full
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.