Intussusception Mimicking Acute Appendicitis in an Adult

A 20-year-old man presented to the Emergency Department (ED) with 3  days of constant abdominal pain that waxed and waned in intensity. He was seen in the ED 2 days prior, at which time his appendix was not well visualized on computed tomography (CT) of the abdomen and pelvis with i.v. contrast only. Symptoms included anorexia, loose stool, subjective fevers, and cramp-like periumbilical and right lower quadrant pain. The patient denied blood in his stool or vomiting. Vital signs were normal. Physical examination demonstrated tenderness in the right lower abdomen and periumbilical region.
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Visual Diagnosis in Emergency Medicine Source Type: research