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Fatal intussusception in infancy: forensic implications.
Milenko Bogdanović1, Miloš Blagojević2, Jelena Kuzmanović3
1Institute of Forensic Medicine "Milovan Milovanović", University of Belgrade - School of Medicine, 31a Deligradska str., Belgrade, 11000, Serbia. milenkobogdanovic88@live.com.
Forensic Science, Medicine, and Pathology
|November 7, 2018
Summary
Intussusception, a common cause of infant intestinal obstruction, can be fatal. This case highlights rapid deterioration and death from intestinal necrosis and shock, emphasizing the need for prompt diagnosis in infants.
Area of Science:
- Pediatrics
- Gastroenterology
- Pathology
Background:
- Intussusception is a leading cause of intestinal obstruction in infants and young children.
- Fatalities, though rare, are linked to complications like peritonitis, sepsis, shock, or fluid imbalance.
Observation:
- An eight-month-old infant presented with vomiting and fever, initially managed as an outpatient.
- The infant's condition rapidly worsened over 9-10 hours, leading to hyperpyrexia and stupor.
- The infant died 15 hours after symptom onset, prior to reaching definitive care.
Findings:
- Autopsy revealed an 8 cm ileocecal intussusception.
- No evidence of peritonitis was found.
- Intestinal necrosis and shock secondary to obstruction were identified as the cause of death.
Implications:
- This case underscores the potential for rapid, fatal progression of intussusception in infants.
- Highlights the critical importance of timely diagnosis and intervention for pediatric intestinal obstruction.
- Emphasizes that even without typical acute abdomen signs, severe outcomes are possible.
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