Day 2 - Case 6

T. Gogova, N. Traykova, I. Popov, N. Atanasova, M. Dimitrova
Radiologist, Radiology Department, University Hospital “Sveti Georgi”, Plovdiv, Bulgaria

Clinical history:
A 17 years old boy entered the Emergency Department with complaints of abdominal pain, distention, nausea and two days history with lack of defecation. He reported no trauma. The patient and his mother reported neither past medical problems nor relevant family history. The clinical examination showed diffuse abdominal tenderness and a palpable mass in the caecal region. A laboratory test indicated high levels of CRP (C-reactive protein) – 15mg/l.

Possible answers
  • Transient Intussusception
  • Intussusception due to primary bowel tumour/metastasis
  • Intussusception of Meckel diverticulum
  • Gallstone ileus
  • Intussusception due to Burkitt lymphoma of the ileum

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