PMC9936335_01
High-resolution transverse sonography of the abdomen via a linear transducer placed in the right iliac fossa region. The image shows a swirled pattern of alternating hyperechogenicity and hypoechogenicity giving the classical "target" appearance representing the alternating layers of mucosa, muscularis, and serosa. Findings are consistent with intussusception with the inner bowel (black arrow) representing the intussuscipiens and the outer bowel (white arrow) representing the intussusceptum
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FIG1
These findings were consistent with intussusception, with the inner bowel (Figure 1, black arrow) representing the intussuscipiens, and the outer bowel (Figure 1, white arrow) representing the intussusceptum.
High-resolution sonographic view with a linear transducer placed in the right iliac fossa region in the longitudinal plane. The image shows the telescoping of a segment of the small bowel loop (black arrow) into the large bowel (white arrow), suggestive of intussusception
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FIG2
The longitudinal plane showed the telescoping of a segment of the small bowel loop (Figure 2, black arrow) into the large bowel (Figure 2, white arrow), suggestive of intussusception.
Proximal to the site of intussusception; the image shows a tubular hypoechoic structure with parallel echogenic lines in the dilated proximal bowel loop representing the characteristic appearance of an intestinal worm (white arrow)
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FIG3
As shown in Figure 3 and Figure 4, there was a tubular hypoechoic structure with parallel echogenic lines in the dilated proximal bowel loop, representing the characteristic appearance of the intestinal worm (white arrow), which suggests worm infestation.
Multiple, rounded, and enlarged hypoechoic lymph nodes (black arrow) in adjacent mesentery suggestive of lymphadenopathy; however, no necrosis, calcification, or conglomeration was seen
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FIG4
As shown in Figure 3 and Figure 4, there was a tubular hypoechoic structure with parallel echogenic lines in the dilated proximal bowel loop, representing the characteristic appearance of the intestinal worm (white arrow), which suggests worm infestation.
Intraoperative image showing the terminal ileum, appendix, and ileocolic junction
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FIG5
Figure 5 shows an intraoperative image of the terminal ileum, appendix, and ileocolic junction.
View of extracted Ascaris worms
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FIG6
The clumped Ascaris was milked out intraoperatively (Figure 6).