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Related Concept Videos

Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Inflammatory Bowel Disease IV: Clinical Manifestations01:20

Inflammatory Bowel Disease IV: Clinical Manifestations

Inflammatory bowel disease (IBD) encompasses two major chronic disorders—ulcerative colitis and Crohn’s disease—each characterized by relapsing episodes of gastrointestinal inflammation. Although they share certain clinical features, their patterns of involvement and manifestations differ in ways that aid diagnosis and guide management.Ulcerative ColitisUlcerative colitis is limited to the colon and rectum and involves continuous inflammation of the mucosal layer. The disease course is marked...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Inflammatory Bowel Disease I: Introduction01:26

Inflammatory Bowel Disease I: Introduction

Inflammatory bowel disease is a group of chronic disorders marked by recurrent inflammation of the gastrointestinal tract due to an abnormal immune response against gut microflora. This leads to tissue damage. The two main forms are Crohn’s disease and ulcerative colitis.Crohn’s DiseaseCrohn’s disease is a relapsing inflammatory disorder that can affect any part of the GI tract, from the mouth to the anus. It involves all layers of the bowel wall (transmural) and shows “skip lesions” in which...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...

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Related Experiment Videos

Kawasaki disease presenting with intussusception: a case report.

Rumana N Hussain1, Gary Ruiz

  • 1Northampton General Hospital, Northampton, UK. rumanahussain@hotmail.com

Italian Journal of Pediatrics
|February 26, 2010
PubMed
Summary

A child

Area of Science:

  • Pediatrics
  • Pediatric Gastroenterology
  • Pediatric Cardiology

Background:

  • Intussusception is a common cause of abdominal pain in young children.
  • Kawasaki disease is an acute febrile vasculitis affecting medium-sized arteries, primarily in children.
  • Early diagnosis and treatment of Kawasaki disease are crucial to prevent coronary artery abnormalities.

Observation:

  • A 3-year-old boy presented with symptoms of intussusception, including abdominal pain, fever, and red jelly stools.
  • Intussusception was successfully treated with air insufflation.
  • Despite initial improvement, the child developed persistent fever and remained unwell.

Findings:

  • Five days post-intussusception reduction, the child exhibited characteristic signs of Kawasaki disease.

Related Experiment Videos

  • The patient received intravenous immunoglobulin and high-dose aspirin, leading to a favorable outcome.
  • This case represents a previously undescribed presentation of Kawasaki disease preceding typical symptoms.

    • Implications:

    • This case highlights a novel temporal association between intussusception and Kawasaki disease.
    • It suggests that intussusception may unmask or precede the development of Kawasaki disease in some children.
    • Clinicians should consider Kawasaki disease in the differential diagnosis for children with unexplained fever following intussusception.