PMC6053545_01
Plain abdominal radiograph showing presence of large amounts of feces in virtually all corresponding topography of the small intestine and colonic segments, as well as the presence a soft tissue mass overlying the right lumbar region (arrows).
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F1
Abdominal x-ray did not show a classic pattern of complete obstruction, but revealed a soft tissue mass overlying the right lumbar region (Figure 1).
Computed tomography imaging. (A) Axial view showing an enlarged and evident ileocecal intussusception (arrows) associated with the presence of thickened intestinal contents. The mesentery forms a crescent of tissue around the compressed innermost lumen, surrounded by the outer enveloping bowel. (B) Sagittal reconstruction showing the classic "target sign" of intestinal intussusception (arrows), with layers of fat and bowel wall is visible. Pancreatic calcifications are visible just above the intussusception. (C) Coronal view showing the longitudinal aspect of the ileocecal intussusception (arrows) as an elongated, sausage-shaped mass with visible layers.
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F2
Computed tomography (CT) revealed ileocecal intussusception associated with inspissated bowel contents (Figure 2).
Endoscopic view of moderately inflamed colon and increased caliber. Despite intense colonic preparation, there is a presence of mucofecaloid content thickened in the intestinal lumen.
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F3
Colonoscopy showed an enlarged colon and no intussusception at the time of the procedure, leading us to believe that the intussusception was reduced with the procedures leading up to the colonoscopy as well as gas insufflation during the study (Figure 3).