title: Voluminous intussusception involving the whole midgut in a teenager: a unique differentiation from abdominal cocoon.
abstract: BACKGROUND
  Intussusception is one of the most frequent complications of Peutz-Jeghers syndrome which has been well described before.
  
  
  METHODS
  Herein, a voluminous intussusception with almost the whole midgut involved in a 13-year-old girl is reported, the radiological presentation was so similar with that of abdominal cocoon that she was initially misdiagnosed accordingly. After the laparotomy confirmation, a careful review was taken on the patient's CT images, a few clues for differentiation were found but proved obscure and an overriding premise for identification is just to take the diagnosis of intussusception into consideration.
  
  
  CONCLUSIONS
  Based mainly on our experience, clinicians should be aware of voluminous intussusception as a unique differentiation of abdominal cocoon and consider it in each case of voluminous abdominal mass.
authors.affiliation: Department of Pediatric surgery, Shengjing Hospital, China Medical University, 36 SanHao Street, Heping District, Shenyang, Liaoning, 110004, People's Republic of China.
authors.forename: Lulu
authors.initials: L
authors.lastname: Li
authors.forename: Shucheng
authors.initials: S
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007443:Intussusception / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D010580:Peutz-Jeghers Syndrome / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media