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Intussusception Initially Diagnosed as a Brief Resolved Unexplained Event (BRUE).

Yukari Atsumi1, Yoshiki Kusama2, Sadahiro Fukui3

  • 1Pediatrics, Amagasaki General Medical Center (AGMC), Hyogo, JPN.

Cureus
|June 16, 2023
PubMed
Summary

A infant initially diagnosed with Brief Resolved Unexplained Event (BRUE) was later found to have intussusception. This case highlights the importance of careful re-evaluation for potentially serious conditions.

Keywords:
alte not brueapparent life-threatening eventbrief resolved unexplained eventintussusceptionlower risk

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Area of Science:

  • Pediatric Emergency Medicine
  • Gastroenterology

Background:

  • Brief Resolved Unexplained Event (BRUE) is a diagnosis of exclusion for transient episodes in infants.
  • Intussusception is a serious gastrointestinal emergency requiring prompt diagnosis and treatment.

Observation:

  • A female infant presented with transient pallor and vomiting, initially diagnosed as BRUE.
  • Physical and laboratory examinations were unremarkable at the initial presentation.

Findings:

  • The infant later developed recurrent vomiting, leading to readmission.
  • Ultrasonography confirmed intussusception, successfully treated with hydrostatic reduction.

Implications:

  • This case underscores the need for caution in diagnosing BRUE, especially when diagnostic criteria are not fully met.
  • Physicians should consider re-evaluation for serious underlying conditions if symptoms persist or worsen after a BRUE diagnosis.