title: Perforated appendicitis and appendicolith in a child presenting as intussusception: a case report.
abstract: Simultaneous diagnoses of intussusception and appendicitis in the same patient have rarely been described in the pediatric literature. A case of a 30-month-old boy is presented with an initial diagnosis of intussusception that was successfully reduced by air contrast enema. When the patient's condition deteriorated, a diagnostic search surprisingly revealed a missed perforated appendicitis with an appendicolith that had been part of the intussusception. The patient's hospitalization and surgical course is described along with a discussion of the intermingling of intussusception and appendicitis in a young child. This case illustrates the need to consider alternative diagnoses when a patient's course takes an unexpected and confusing turn.
authors: Children's National Medical Center, Division of Emergency Medicine, Washington, DC 20010, USA. dr.toddchang@gmail.com
authors: Todd P
authors: TP
authors: Chang
authors: Sudha A
authors: SA
authors: Russell
mesh_terms: D001064:Appendicitis / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging; D001065:Appendix / Q000000981:diagnostic imaging; D002675:Child, Preschool; D004733:Enema; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000628:therapy; D007443:Intussusception / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D011859:Radiography; D014463:Ultrasonography