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Episodic vomiting due to intermittent duodenal intussusception.
J M Johnston1, J K Harnsberger
1Department of Pediatrics, Washington University at St. Louis, Missouri.
Journal of Pediatric Gastroenterology and Nutrition
|April 1, 1990
Summary
Cyclic vomiting can mimic psychosomatic disorders but may indicate underlying organic issues. A case study highlights intermittent duodenal intussusception as a treatable cause of vomiting in children.
Area of Science:
- Pediatric Gastroenterology
- Surgical Pathology
Background:
- Cyclic vomiting is often a diagnosis of exclusion, requiring thorough investigation to rule out organic causes.
- Psychosomatic etiologies are common, but organic conditions must be systematically excluded.
Observation:
- A school-aged girl presented with recurrent episodes of vomiting.
- Initial assessments did not reveal an organic basis for the symptoms.
Findings:
- Endoscopic examination revealed intermittent duodenal intussusception caused by an enteric duplication.
- Surgical removal of the enteric duplication successfully resolved the vomiting episodes.
Implications:
- This case underscores the importance of considering intussusception in the differential diagnosis of episodic vomiting in children.
- Endoscopy is a valuable tool for diagnosing intussusception in pediatric patients with unexplained vomiting.