A Puzzling Pediatric Abdomen

A 5-year-old boy presents with intermittent abdominal pain. See the classic CT findings that reveal a rare cause of Intestinal Obstruction in children.

Colocolonic intussusception


A previously healthy 5-year-old boy was brought to the surgery clinic with a 2-day history of intermittent abdominal pain. On palpation of the abdomen there was pain in the periumbilical region, but no rebound or guarding. An ultrasound was normal, and a computed tomography of the abdomen was performed (Panels A,B). Based on the CT findings, what is the most likely etiology of the patient’s symptoms?

What is the most likely diagnosis?

Crohn’s disease
Colocolonic intussusception
Colonic pseudo-obstruction
Ileocolic intussusception
Sigmoid volvulus

Abdominal pain, Colocolonic intussusception, Intestinal Obstruction, Pediatrics, Target Sign

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