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Intussusception. A case that suggests a new cardinal symptom--lethargy
1Department of Family and Community Medicine, Bowman Gray School of Medicine, Winston-Salem, NC 27103.
Postgraduate Medicine
|June 1, 1988
Summary
Intussusception, a common cause of bowel obstruction in children, can be life-threatening if missed. Lethargy may be a key early symptom, aiding timely diagnosis and improving outcomes.
Area of Science:
- Pediatric Medicine
- Gastroenterology
Background:
- Intussusception is the most common cause of bowel obstruction in children aged 3 months to 5 years.
- Delayed diagnosis can lead to severe complications like bowel necrosis, perforation, and death.
Observation:
- Traditional cardinal symptoms (abdominal pain, rectal bleeding, vomiting, abdominal mass) are not always present.
- Lethargy can be a significant presenting feature, especially in infants without reported abdominal pain.
Findings:
- Lethargy may serve as a fifth cardinal symptom of intussusception.
- Recognizing lethargy alongside other symptoms can indicate serious illness.
Implications:
- Increased awareness of lethargy as a symptom can lead to earlier intussusception diagnosis.
- Earlier diagnosis is associated with improved patient outcomes and reduced morbidity.