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Arch Surg. 2003;138:682.

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Answer: Acute Intussusception

Figure 1 Computed tomographic scan of the abdomen, showing "bowel within bowel," typical of intussusception.

Figure appears in full text version. Figure 1.

Figure 2 Operative picture after the intussusception had been reduced. Note the dimple in the terminal ileum (indicated by the hemostat), the site of an invaginated Meckel diverticulum (as shown in the inset). This was the main point of intussusception.

Figure appears in full text version. Figure 2.

A 20-YEAR-OLD, emaciated man came to the emergency department with recurrent right lower quadrant pain and diarrhea. The patient had been having similar episodes for the past 5 years and was seen in several hospitals. He had recently been referred to a psychiatrist for these symptoms. A physical examination revealed a thin, cachectic individual, underdeveloped for his age, with tenderness in the right lower quadrant without peritoneal signs. A vague "fullness" was appreciated in the right upper quadrant. Laboratory results were within normal limits. A computed tomographic scan was obtained (. . . [Full Text of this Article]

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