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Related Experiment Videos

Painless intussusception and altered mental status.

R Birkhahn1, M Fiorini, T J Gaeta

  • 1Department of Emergency Medicine, New York Methodist Hospital, Brooklyn 11215, USA.

The American Journal of Emergency Medicine
|August 19, 1999
PubMed
Summary

A rare case of intussusception in a 7-month-old infant presented with unusual symptoms like hematemesis and lethargy. Abdominal ultrasound was crucial for diagnosing this common childhood condition.

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Area of Science:

  • Pediatric Gastroenterology
  • Diagnostic Imaging in Children

Background:

  • Intussusception is a common surgical emergency in infants and young children.
  • Typical symptoms include colicky abdominal pain, vomiting, and a palpable abdominal mass.
  • Atypical presentations can delay diagnosis and treatment.

Observation:

  • A 7-month-old infant presented with painless emesis, progressing to hematemesis, hematochezia, and unresponsiveness.
  • Initial differential diagnoses included toxic ingestion, intracranial bleed, sepsis/meningitis, and intraabdominal pathology.
  • The patient remained hemodynamically stable throughout the initial evaluation.

Findings:

  • Abdominal ultrasound revealed ileal-cecal intussusception.
  • Surgical reduction was required for definitive treatment.

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  • This case highlights an insidious presentation of intussusception.

    • Implications:

    • Abdominal ultrasound is a valuable, non-invasive tool for diagnosing intussusception in hemodynamically stable children.
    • Recognizing atypical symptoms is crucial for timely diagnosis and management of intussusception.
    • This case underscores the importance of considering intussusception even with unusual clinical signs.