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[Hypertensive manifestation of an acute intestinal intussusception]
C Paget1, A M Rossignol, C Durand
1Département de pédiatrie, CHU, Grenoble, France.
Insights
Hypertension in infants may signal intussusception, a serious intestinal condition. Prompt diagnosis using abdominal ultrasound and reduction of intussusception can resolve hypertension.
Area of Science:
- Pediatric Gastroenterology
- Neonatal Medicine
- Clinical Case Studies
Background:
- Systemic hypertension is a potential, though uncommon, comorbidity in pediatric intussusception.
- Early recognition of hypertension in infants presenting with gastrointestinal distress is crucial.
Observation:
- An 8-month-old infant presented with lethargy, vomiting, and significant hypertension.
- Abdominal ultrasonography initially suggested intussusception.
- Intussusception was subsequently confirmed via barium enema.
Findings:
- The infant's hypertension resolved completely following the successful reduction of the intussusception.
- This case highlights a direct correlation between intussusception and hypertension in an infant.
Implications:
- Intussusception should be included in the differential diagnosis for infants presenting with vomiting, lethargy, and hypertension.
- Abdominal ultrasonography is a valuable, non-invasive tool for diagnosing intussusception in infants.
- Management of intussusception can lead to the resolution of associated hypertension.
Background:
Hypertension may be associated with intussusception.
Case Report:
An 8-month-old infant showed the following symptoms: lethargy, vomiting and hypertension. Abdominal ultrasound suggested the diagnosis of intussusception, which was confirmed by barium enema. The hypertension resolved after the intussusception was reduced.
Conclusion:
Intussusception should be considered a diagnostic possibility in infants who show a history of vomiting and in whom lethargy and systematic hypertension are noted. This case re-affirms the diagnostic usefulness of abdominal ultrasonography.