COTW August 1st: A 3-year old male with intermittent abdominal pain for 3 days...

The patient was having these 5-10 minute episodes of abdominal pain recurring about every 30 minutes, and had another one in the ED… so you put a probe on it…

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At the beginning of the clip, note the concentric structures separated by a thin, anechoic stripe forming a target shape. This indicates a cross-sectional view of bowel inside bowel.

By the end of the clip, the probe was rotated to obtain a longitudinal view showing the telescoping of bowel into bowel.

These findings are consistent with intestinal intussusception, which was later reduced with an enema.

Here’s another view highlighting the inner bowel:

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To perform this study, use the linear probe starting on RLQ and work your way up to the RUQ. Always remember that bowel should not be present within bowel.