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

• Main Authors: Mehrzad Mehdizadeh, Sara Memarian, Rahman Khosravi, Farzaneh Motamed, Parisa Rahmani, Maryam Saidi, Reihaneh Mohsenipour, Hosein Alimadadi, Behdad Gharib
• Format: Article
• Language: English
• Published: Mashhad University of Medical Sciences 2017-11-01
• Series: International Journal of Pediatrics
• Subjects: Crohn disease; Intussusception; Burkitt lymphoma
• Online Access: http://ijp.mums.ac.ir/article_8886_4e541fbcf8ef62fa8815fd067ff4f9a9.pdf

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.