Mcswain Type V Appendiceal Intussusception as a Lead Point in Infantile Ileocolic Intussusception: A Rare Case Report
Sukrit Singh Shah, Ravi Kumar Garg, Teg Rabab Singh, Ashish Yadav
Asian Journal of Case Reports in Surgery · pp. 515–520 · Published 28 May 2026
10.9734/ajcrs/2026/v9i2808Abstract
Both appendicitis and intussusception can have similar presentations which can pose diagnostic and therapeutic challenges. Appendiceal intussusception is a rare condition, particularly in infants, and may serve as a pathological lead point for ileocolic intussusception. While most early intussusceptions can be managed by non-surgical reductions, these appendiceal intussusceptions stand out as exceptions. Of the available literature, the youngest cases reported has been in 4-year old child and above. We report a 5-month-old male presenting with abdominal pain, red currant jelly stools, and a palpable abdominal mass. Imaging suggested ileo-colic intussusception, and surgical exploration revealed a markedly elongated appendix (~10 cm) acting as the lead point. Appendectomy with vice versa reduction of intussusception was performed successfully. This case highlights the importance of considering rare lead points in atypical presentations of intussusception in infancy.
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