RT Book, Section
A1 Brindle, Allison W.
A1 Park, Ellen
A1 DiFiore, John
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114872247
T1 Intussusception
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114872247
RD 2024/04/23
AB An  11-month-old  previously  healthy  male  infant  is  brought  to  the  Emergency  Department  (ED)  for  a  1-day  history  of  fussiness  and  vomiting.  His  parents  report  that  throughout  the  day  he  has  had  periods  of  crying  and  has  been  inconsolable,  drawing  his  knees  in  towards  his  chest.  Crying  episodes  last  for  about  20  minutes.  Between  episodes,  he  had  been  content.  He  then  developed  vomiting  immediately  after  an  episode  of  crying.  He  passed  a  bowel  movement  that  appeared  to  have  blood  and  mucus  in  the  stool.  He  became  more  lethargic  between  crying  episodes  and  his  parents  have  become  quite  concerned.  In  the  ED,  he  appeared  moderately  dehydrated,  appeared  sleepy,  and  was  noted  to  have  tenderness  on  palpation  of  the  abdomen.  After  stabilization  with  intravenous  fluids  the  physician  ordered  an  abdominal  ultrasound,  which  was  concerning  for  intussusception  (Figure  58-1A–C).  The  pediatric  radiologist  was  able  to  reduce  the  intussusception  with  an  air  enema  under  fluoroscopic  guidance.  The  patient  tolerated  the  procedure  well  and  recovered  completely.