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Intussusception: a supplement to the mnemonic for coma.

J B McCabe, J I Singer, T Love

    Pediatric Emergency Care
    |June 1, 1987
    PubMed
    Summary
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    Intussusception can present subtly in infants with lethargy and vomiting, delaying diagnosis. Prompt imaging like ultrasound or barium enema is crucial for infants with unexplained lethargy.

    Area of Science:

    • Pediatric Gastroenterology
    • Diagnostic Imaging

    Background:

    • Intussusception is a common surgical emergency in infants.
    • Typical symptoms include abdominal pain, vomiting, mass, and rectal bleeding.

    Observation:

    • A case of infant intussusception presented with lethargy and vomiting.
    • Initial examination lacked classic signs like pain, melena, or abdominal mass.
    • This led to diagnostic delay due to altered sensorium without overt pain.

    Findings:

    • Lethargy and vomiting can be atypical presenting symptoms of intussusception.
    • Diagnostic challenges arise when classic signs are absent.

    Implications:

    • Emphasizes the need for heightened clinical suspicion in infants with non-specific symptoms.

    Related Experiment Videos

  • Recommends prompt abdominal imaging (radiographs, ultrasound, or barium enema) for unexplained infant lethargy.
  • Highlights the importance of timely diagnosis and intervention to prevent complications.