A case of ileal caecum intussusception mimicking rectal prolapse in a 4-month-old female infant.

ABSTRACT

INTRODUCTION AND IMPORTANCE Ilea caecum Intussusception protruding to the level of anus is a rare manifestation and potentially serious condition in infants. CASE PRESENTATION A four-month-old infant presented with a one-day history of non-projectile vomiting, three episodes, food contents, worsened by feeding, accompanied by intermittent low-grade fever, and one instance of passing black tarry stool. After outpatient treatment, the infant showed improvement for three days, but later the mother noticed a protruding, self-reducing anal mass, hence the suspected rectal prolapse, which was then Referred for further management. CLINICAL DISCUSSION: Intussusception, the most frequent surgical emergency in infants and young children aged 3 to 6 months, is primarily idiopathic, with the ileocecal region being the most commonly affected (90 % of cases). However, when the intussusceptum advances to the anus, it's rare, often leading to misdiagnosis and mismanagement. CONCLUSION: Intussusception of the colon should be added to the differential diagnosis of symptoms and the clinical picture of rectal prolapse.