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Intussusception associated with transient hypertension
1Saint Louis University School of Medicine, Department of Pediatrics/Adolescent Medicine, Missouri.
Pediatric Emergency Care
|December 1, 1988
Insights
A rare case of infant intussusception presented with hypertension, a previously unreported symptom. Surgical intervention was necessary for resolution, highlighting a critical diagnostic consideration in pediatric emergencies.
Area of Science:
- Pediatric Gastroenterology
- Surgical Pediatrics
- Neonatal Hypertension
Background:
- Intussusception is a common cause of bowel obstruction in infants.
- Hypertension is not a typical finding associated with intussusception.
Observation:
- A three-month-old infant exhibited symptoms of vomiting, lethargy, and severe hypertension.
- Initial abdominal ultrasound suggested intussusception.
- Barium enema confirmed the diagnosis of intussusception.
Findings:
- The infant's hypertension was a novel presentation of intussusception.
- Hypertension resolved only after surgical resection of the intussuscepted segment.
Implications:
- This case suggests a potential association between intussusception and hypertension in infants.
- Clinicians should consider intussusception in infants presenting with unexplained hypertension.
- Early surgical management may be crucial for resolving both intussusception and associated hypertension.
Abstract:
A three-month-old infant presented with vomiting, lethargy, and hypertension. Abdominal ultrasound suggested the diagnosis of intussusception, which was confirmed by barium enema. Hypertension, previously unreported with intussusception, only resolved after surgical resection of the lesion.
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