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Intussusception Secondary to a Meckel's Diverticulum in an Adolescent

A 13-year-old girl presented to the Emergency Department with vomiting and abdominal pain. On examination, she had only mild abdominal tenderness, but a mass was palpable in her right lower quadrant. Intussusception was diagnosed on ultrasound and confirmed on computed tomography (CT) scan, and oper...

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Detalles Bibliográficos
Autores principales: Morrison, John, Jeanmonod, Rebecca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3542894/
https://www.ncbi.nlm.nih.gov/pubmed/23326695
http://dx.doi.org/10.1155/2011/623863
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author Morrison, John
Jeanmonod, Rebecca
author_facet Morrison, John
Jeanmonod, Rebecca
author_sort Morrison, John
collection PubMed
description A 13-year-old girl presented to the Emergency Department with vomiting and abdominal pain. On examination, she had only mild abdominal tenderness, but a mass was palpable in her right lower quadrant. Intussusception was diagnosed on ultrasound and confirmed on computed tomography (CT) scan, and operative findings revealed a jejunojejunal intussusception secondary to Meckel's diverticulum. Intussusception is a surgical abdominal emergency, which can present in all ages but is the most common reason for small bowel obstruction in childhood. It is a well-known cause of abdominal pain, vomiting, and bloody diarrhea in infancy but often not considered when evaluating the older child with similar symptoms. However, consideration of this diagnosis is important, as more than 1/3 of cases present beyond the age of 7. In older children, intussusception is more likely to be related to underlying pathology, such as Meckel's diverticulum, malignancy, or polyp. Intussusception should be on the differential in any patient with isolated abdominal complaints, and when it is diagnosed in an older child, it should be recognized that it is likely secondary to underlying pathology.
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spelling pubmed-35428942013-01-16 Intussusception Secondary to a Meckel's Diverticulum in an Adolescent Morrison, John Jeanmonod, Rebecca Case Rep Emerg Med Case Report A 13-year-old girl presented to the Emergency Department with vomiting and abdominal pain. On examination, she had only mild abdominal tenderness, but a mass was palpable in her right lower quadrant. Intussusception was diagnosed on ultrasound and confirmed on computed tomography (CT) scan, and operative findings revealed a jejunojejunal intussusception secondary to Meckel's diverticulum. Intussusception is a surgical abdominal emergency, which can present in all ages but is the most common reason for small bowel obstruction in childhood. It is a well-known cause of abdominal pain, vomiting, and bloody diarrhea in infancy but often not considered when evaluating the older child with similar symptoms. However, consideration of this diagnosis is important, as more than 1/3 of cases present beyond the age of 7. In older children, intussusception is more likely to be related to underlying pathology, such as Meckel's diverticulum, malignancy, or polyp. Intussusception should be on the differential in any patient with isolated abdominal complaints, and when it is diagnosed in an older child, it should be recognized that it is likely secondary to underlying pathology. Hindawi Publishing Corporation 2011 2011-09-25 /pmc/articles/PMC3542894/ /pubmed/23326695 http://dx.doi.org/10.1155/2011/623863 Text en Copyright © 2011 J. Morrison and R. Jeanmonod. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Morrison, John
Jeanmonod, Rebecca
Intussusception Secondary to a Meckel's Diverticulum in an Adolescent
title Intussusception Secondary to a Meckel's Diverticulum in an Adolescent
title_full Intussusception Secondary to a Meckel's Diverticulum in an Adolescent
title_fullStr Intussusception Secondary to a Meckel's Diverticulum in an Adolescent
title_full_unstemmed Intussusception Secondary to a Meckel's Diverticulum in an Adolescent
title_short Intussusception Secondary to a Meckel's Diverticulum in an Adolescent
title_sort intussusception secondary to a meckel's diverticulum in an adolescent
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3542894/
https://www.ncbi.nlm.nih.gov/pubmed/23326695
http://dx.doi.org/10.1155/2011/623863
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