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Related Experiment Videos

Unusual cases of intussusception.

C V Pollack1, E S Pender

  • 1Division of Emergency Medicine, University of Mississippi Medical Center, Jackson 39216-4505.

The Journal of Emergency Medicine
|September 11, 1991
PubMed
Summary

Intussusception, a common childhood condition, can present atypically, especially in older children. Emergency physicians must consider intussusception in all intestinal obstruction cases to prevent serious complications.

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Area of Science:

  • Pediatric Emergency Medicine
  • Gastroenterology
  • Surgical Pediatrics

Background:

  • Intussusception is a leading cause of intestinal obstruction in infants and young children.
  • Classic symptoms include abdominal pain, vomiting, and bloody stools, but these are often absent in atypical cases.

Observation:

  • This study reviews three cases of intussusception presenting outside the typical demographic or with non-classical symptoms.
  • Atypical presentations challenge initial diagnosis, particularly in older children or those without the hallmark triad of symptoms.

Findings:

  • Intussusception can occur in all age groups and may not present with the classic signs.
  • Delayed diagnosis due to atypical symptoms increases the risk of ischemic complications.

Implications:

  • Emergency physicians must maintain a high index of suspicion for intussusception in any patient with intestinal obstruction, regardless of age or symptom presentation.
  • Early recognition and prompt management are crucial for preventing bowel ischemia and improving patient outcomes.

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