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January 16, 1978

Obscure Intussusception Diagnosed by Ultrasonography

Author Affiliations

From the Departments of Internal Medicine (Dr Uhland) and Surgical Services (Dr Parshley), Emanuel Hospital, 2801 N Gantenbein Ave, Portland, Ore.

JAMA. 1978;239(3):224. doi:10.1001/jama.1978.03280300056023

ILEOCOLIC intussusception, though common in children, is extremely rare in adults. To our knowledge, only 160 cases have been recorded in the literature since 1952.1 A case of ileocolic intussusception in an elderly woman was diagnosed by ultrasonography.

Report of a Case  A 90-year-old woman entered the Emergency Department with a four-day history of diffuse midupper abdominal pain. At the time of admission, she had no nausea or vomiting. She had four watery, diarrheal stools, with no evidence of blood during the preceding 12 hours. Examination of the abdomen showed a 10- to 12-cm, tubular, firm, minimally tender mass located in the right side of the upper abdomen. Bowel sounds were hypoactive. Rectal examination was normal, and the stool was weakly positive for blood by guaiac determination. Results of a complete blood cell count and chemistry screen were normal. Plain films of the abdomen were normal. A barium examination