Recurrent Intussusception in a Pediatric Patient: The Role of the Mesoappendix as a Potential Culprit.

Intussusception, a condition in which one part of the intestine telescopes into another, primarily affects children under 18 months of age. This case report details the radiologic findings in a six-year-old child with a long-standing history of recurrent ileocolic intussusception, who presented with abdominal pain and was diagnosed with intussusception-associated appendicitis. Following the fifth recurrence, the patient underwent laparoscopic reduction of the intussusception and appendectomy. Surgical findings revealed an inflamed appendix, prominent mesoappendix, and adhesions with mesenteric fat, which likely contributed to the recurrent episodes. This case underscores the importance of considering anatomical anomalies in the differential diagnosis to optimize management and prevent further recurrences.