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An Unusual Presentation of Intussusception.
Kathryn Dickson1, Ann E Gerhart, K Sue Hoyt
1Emergency Department, Naval Medical Center San Diego, San Diego, California (Ms Gerhart); Emergency Department, Scripps Memorial Hospital La Jolla, California (Dr Dickson); and Hahn School of Nursing and Health Science, Beyster Institute for Nursing Research, University of San Diego, California (Dr Hoyt).
Advanced Emergency Nursing Journal
|May 6, 2021
Summary
This case highlights an unusual presentation of intussusception in an infant. Pneumatic enema reduction proved successful, offering superior outcomes for this condition.
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
Background:
- Intussusception is a common cause of bowel obstruction in infants.
- Typical symptoms include vomiting, diarrhea, fever, lethargy, and bloody stools.
Observation:
- A 9-month-old infant presented with nonbilious, nonbloody emesis and was afebrile with normal vital signs.
- Initial radiography raised concerns for obstruction; ultrasonography confirmed intussusception.
Findings:
- The infant's presentation was atypical, lacking common signs of severe illness.
- Pneumatic enema reduction was successfully performed, a method with superior outcomes in infants.
Implications:
- This case underscores the importance of considering intussusception even with atypical presentations.
- Advanced practice providers must maintain vigilance, perform thorough evaluations, and utilize appropriate diagnostics for pediatric emergencies.
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