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Intussusception in association with childhood cocaine intoxication: a case report
1Department of General Pediatrics, Children's National Medical Center, Washington, DC 20010.
Insights
Cocaine intoxication may cause intussusception in infants. This case report highlights the need for physicians to consider intussusception in cocaine-exposed children presenting with vomiting and abdominal pain.
Area of Science:
- Pediatric Gastroenterology
- Toxicology
Background:
- Intussusception is a common cause of bowel obstruction in infants.
- Cocaine exposure in children is a growing concern.
Observation:
- An 11-month-old infant presented with symptoms suggestive of intussusception.
- The infant had a history of exposure to cocaine.
Findings:
- The patient was diagnosed with intussusception.
- Cocaine intoxication was identified as a potential contributing factor.
- This represents the first reported case of cocaine intoxication associated with intussusception.
Implications:
- Physicians should consider intussusception in the differential diagnosis of cocaine-exposed infants with abdominal pain and vomiting.
- This association may be biologically plausible, warranting further investigation.
- Early recognition and management are crucial for favorable outcomes.
Abstract:
A case report of an 11-month-old infant with cocaine intoxication and intussusception is presented. We present this case because there are no prior reports in the literature of cocaine intoxication associated with intussusception. The diagnosis was not initially considered in this patient. We feel the association is biologically plausible and alert physicians to consider intussusception in the differential diagnosis of the cocaine-exposed child with vomiting and abdominal pain.