Abstract

We present a case of ileocolic intussusception in a 5-month-old male infant with associated type III malrotation who presented with acute duodenal obstruction. The clinical presentation and initial radiologic studies suggested a midgut volvulus. The intussuceptum was incarcerated within the paraduodenal recess, causing extrinsic duodenal compression with complete obstruction. The intussusception was surgically reduced and a Ladd's procedure with appendectomy was performed. No intrinsic duodenal pathology was found at surgery. The infant's recovery was uneventful. The relationship between intussception, paraduodenal hernias, and anomalies of intestinal rotation and fixation are discussed.

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