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

Brief resolved unexplained event (BRUE) are transient and worrying episodes observed in infants and are characterized by changes in skin color, breathing, muscle tone, and/or responsiveness. We describe the case of a female infant who was initially diagnosed with BRUE but was later determined to hav...

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Detalles Bibliográficos
Autores principales: Atsumi, Yukari, Kusama, Yoshiki, Fukui, Sadahiro, Kamimura, Katsunori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10266924/
https://www.ncbi.nlm.nih.gov/pubmed/37323354
http://dx.doi.org/10.7759/cureus.39054
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author Atsumi, Yukari
Kusama, Yoshiki
Fukui, Sadahiro
Kamimura, Katsunori
author_facet Atsumi, Yukari
Kusama, Yoshiki
Fukui, Sadahiro
Kamimura, Katsunori
author_sort Atsumi, Yukari
collection PubMed
description Brief resolved unexplained event (BRUE) are transient and worrying episodes observed in infants and are characterized by changes in skin color, breathing, muscle tone, and/or responsiveness. We describe the case of a female infant who was initially diagnosed with BRUE but was later determined to have intussusception. She presented to our emergency department with a transient pallor and a single episode of vomiting that resolved before her visit. Physicians did not detect any abnormalities on physical or laboratory examinations, so she was diagnosed with BRUE and discharged to be re-evaluated the next day. After returning home, she vomited several times. The patient revisited our hospital the following day and was definitively diagnosed with intussusception using ultrasonography, which was successfully treated using fluoroscopy-guided hydrostatic reduction. This case was initially diagnosed as a BRUE; however, re-evaluation helped in identifying the proper diagnosis of intussusception. Physicians should exercise caution when diagnosing patients with BRUE. When the diagnostic criteria are not completely met, follow-up should be conducted, assuming that the patient has a potentially serious condition.
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spelling pubmed-102669242023-06-15 Intussusception Initially Diagnosed as a Brief Resolved Unexplained Event (BRUE) Atsumi, Yukari Kusama, Yoshiki Fukui, Sadahiro Kamimura, Katsunori Cureus Emergency Medicine Brief resolved unexplained event (BRUE) are transient and worrying episodes observed in infants and are characterized by changes in skin color, breathing, muscle tone, and/or responsiveness. We describe the case of a female infant who was initially diagnosed with BRUE but was later determined to have intussusception. She presented to our emergency department with a transient pallor and a single episode of vomiting that resolved before her visit. Physicians did not detect any abnormalities on physical or laboratory examinations, so she was diagnosed with BRUE and discharged to be re-evaluated the next day. After returning home, she vomited several times. The patient revisited our hospital the following day and was definitively diagnosed with intussusception using ultrasonography, which was successfully treated using fluoroscopy-guided hydrostatic reduction. This case was initially diagnosed as a BRUE; however, re-evaluation helped in identifying the proper diagnosis of intussusception. Physicians should exercise caution when diagnosing patients with BRUE. When the diagnostic criteria are not completely met, follow-up should be conducted, assuming that the patient has a potentially serious condition. Cureus 2023-05-15 /pmc/articles/PMC10266924/ /pubmed/37323354 http://dx.doi.org/10.7759/cureus.39054 Text en Copyright © 2023, Atsumi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Atsumi, Yukari
Kusama, Yoshiki
Fukui, Sadahiro
Kamimura, Katsunori
Intussusception Initially Diagnosed as a Brief Resolved Unexplained Event (BRUE)
title Intussusception Initially Diagnosed as a Brief Resolved Unexplained Event (BRUE)
title_full Intussusception Initially Diagnosed as a Brief Resolved Unexplained Event (BRUE)
title_fullStr Intussusception Initially Diagnosed as a Brief Resolved Unexplained Event (BRUE)
title_full_unstemmed Intussusception Initially Diagnosed as a Brief Resolved Unexplained Event (BRUE)
title_short Intussusception Initially Diagnosed as a Brief Resolved Unexplained Event (BRUE)
title_sort intussusception initially diagnosed as a brief resolved unexplained event (brue)
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10266924/
https://www.ncbi.nlm.nih.gov/pubmed/37323354
http://dx.doi.org/10.7759/cureus.39054
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