PMC7610029_01
Ultrasound images showing a small bowel distension and bowel wall thickening (red arrow) upstream the intussusception.
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The ultrasound showed small bowel distension and diffuse bowel wall thickening (Fig. 1) upstream a sub hepatic ileocecal intussusception.
a: Ultrasound transverse view showing a target sign consisting of a peripheral hypoechoic ring with central echogenicity (white arrow) measuring 19 mm x 19.8 mm.. b: Ultrasound longitudinal view showing a pseudo kidney sign consisting of a hyperechoic mesenteric fat (white arrow) contained between an external cecal wall and an internal ileal wall (white arrowheads) extending on 35.5 mm.
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The latter showed the classic target and pseudo kidney signs extending on 35.5 mm without blood flow within it (Fig. 2).
A five-centimeter-ileocecal intussusception.
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Exploration revealed dilated small bowel upstream of a five-centimeter-ileocecal intussusception (Fig. 3), that was reduced with retrograde manual pressure.
Resection of 3 cm of terminal ileum and cecal segment with a suspected hemorragic lesion of the cecum (black arrow).
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The palpation of a focal thickening of the cecal wall required the resection of 3 cm of terminal ileum and the cecal segment (Fig. 4) followed by an ileocolic end-to-end anastomosis.