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Two children with lethargy and intussusception.

R W Hickey1, S K Sodhi, W R Johnson

  • 1Department of Pediatrics, Medical Center of Delaware, Wilmington.

Annals of Emergency Medicine
|April 1, 1990
PubMed
Summary
This summary is machine-generated.

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Lethargy can be a primary symptom of intussusception in children. Prompt recognition of lethargy with gastrointestinal signs is crucial for diagnosing this condition.

Area of Science:

  • Pediatric Medicine
  • Gastroenterology
  • Emergency Medicine

Background:

  • Intussusception is a common surgical emergency in infants and young children.
  • Classic symptoms include abdominal pain, vomiting, and bloody stools.
  • Lethargy is not typically considered a primary presenting symptom.

Observation:

  • Two pediatric cases are presented where lethargy was the predominant initial symptom.
  • Both patients eventually presented with right lower quadrant abdominal tenderness and heme-positive stool.
  • Diagnosis was delayed until the development of these more specific gastrointestinal signs.

Findings:

  • Lethargy, when accompanied by gastrointestinal symptoms like abdominal tenderness and bloody stools, can indicate intussusception.

Related Experiment Videos

  • This presentation highlights a less common but significant clinical manifestation of intussusception.
  • Early recognition of subtle signs is vital for timely intervention.

    • Implications:

    • Physicians should consider intussusception in pediatric patients presenting with unexplained lethargy, especially if accompanied by GI symptoms.
    • Increased awareness of lethargy as a potential primary symptom may lead to earlier diagnosis and treatment.
    • This can improve outcomes and reduce complications associated with delayed intussusception diagnosis.