Manifestaciones neurológicas de la invaginación intestinal

Domínguez‐Carral, Jana; Puertas-Martín, Verónica; Carreras-Sáez, Inmaculada; Maraña-Pérez, Ana; Escobar-Delgado, Teresa; Garcı́a-Peñas, Juan José

doi:10.1016/j.anpedi.2013.06.034

Cited by 7 publications

(2 citation statements)

References 16 publications

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“…So, when the neurological signs are predominant or the only dysfunction, the clinician is forced to perform an extensive differential diagnosis in order to exclude other causes of acute encephalopathy: infectious, structural, vascular, hydroelectrolytic, toxic, endocrinological, autoimmune, metabolic, or epileptic [13]. In the present case report, the infant presented vomiting but the neurological signs were predominant, and even misleading: lethargy, hypotonia, and convulsions in a febrile context led us to achieve a more exhaustive infectious investigation, and the radiological assessment did not objectify a cause.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Neurological Form of Acute Intussusception in an Infant: Late Diagnosis and Management

Louachama¹,

Rada²,

Draïss³

et al. 2019

Case Reports in Pediatrics

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Acute intussusception is one of the most common causes of intestinal obstruction in infants and small children and involves the invagination of one bowel segment into another. The clinical signs can be deceptively misleading when there is only one symptom or when an unusual symptom is in the foreground, especially in infants less than 1-year-old. We report a case of an infant with an acute intussusception where the neurological symptoms are predominant. The neurological form is the expression of major vascular narrowing of the collar of the intestinal intussusception; this form is rare and misleading and can be responsible for a delayed diagnosis.

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Section: Discussionmentioning

confidence: 99%

An Unusual Neurological Form of Acute Intussusception in an Infant: Late Diagnosis and Management

Louachama¹,

Rada²,

Draïss³

et al. 2019

Case Reports in Pediatrics

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“…Letarji ve bilinç değişikliği olduğunda tipik bulguları maskelenebilir. Bu nedenle süt çocuğu ve erken çocukluk döneminde letarji, hipotoni ve bilinçte değişiklik ile getirilen hastalarda invajinasyon ayırıcı tanıda düşünülmelidir (8). İnvajinasyon ensefalopatisi eskiden beri bilinen, ancak nadir rastlanan, invajinasyonun klasik bulgularının genellikle olmadığı ve nörolojik bulguların ön planda olduğu bir tablodur.…”

Section: Olguunclassified

Intussusception encephalopathy: a rare case report

et al. 2016

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CaseAn eleven-year old male patient was referred to another hospital with complaints of alternation in consciousness and stupor which developed in one-two hours. Afterwards, bilious vomiting was observed for 5-6 times; fever, diarrhea or seizures were not observed. Laboratory tests revealed mild reduction in sodium (133 mmol/L) and complete blood count, serum biochemical values, blood gases, ammonia and lactate values were found to be normal. Electrocardiographic examination, echocardiographic examination and cranial magnetic resonance imaging (MRI) were found to be normal. The pediatric patient who had a picture of encephalopathy and whose consciousness deteriorated in 24 hours was internalized in our pediatric intensive care unit. It was learned that he had upper respiratory tract infection about two weeks ago and recovered without using medication. No drug usage or trauma was described before the complaints. No additional pathology was reported in his personal history and familial history. His vaccinations had been administered in accordance with the immunization schedule. It was stated that he had age-appropriate neuromotor development.Physical examination revealed that the patient had a Glaskow coma score of 10, stupor and confusion. His respiratory rate was increased at the time of hospitalization (60/min). His body temperature, blood pressure and apical heart beat were found to be normal. He had no sign of dehydratation. Petechia or ecchymosis was not observed. Examination of the respiratory and cardiovascular system was found to be normal. On abdominal examination, the abdomen was easy, intestinal sounds were reduced, a sense of fullness was found below the liver and a mass extending from the right middle area to the left upper quadrant was palpable. Abdominal tenderness or rebound was not found. On neurological examination, withdrawal response to stimuli was present despite central hypotony. The pupillae were isocoric and light reflex was positive. His reflexes were found to be normal. Meningeal irritation sign or pathological reflex was not found. Pathological lymphadenomegaly was not found. Strawberry jam-like bloody, juicy feces was observed with rectal examination.

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Lethargy as an initial symptom of intussusception secondary to Meckel's diverticulum in a 2.5 year-old girl: Case report

Badour

Hammed

Baqla

2021

Annals of Medicine &Amp; Surgery

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Introduction and importance: Intussusception is one of the most common causes of acute abdomen and surgical morbidities in the childhood. In a paediatric presentation of intussusception due to Meckel's diverticulum there may be acute onset of abdominal pain, vomiting or painless red currant stools. However, Lethargy has been described as a rare presenting symptom Case presentation We present a case of 2,5 – year old female complained of acute alternation in consciousness followed by continuous vomiting two days later. Clinical discussion Her neurological examination showed a lethargic child, not reactive and hypotonic. Her past medical history was unremarkable. Abdominal ultrasonography was compatible with ileocolic intussusception. The necrotic bowel and diverticulum were resected, followed by anastomosis of the viable bowel segments. postoperatively the infant recovered dramatically. Conclusion Although lethargy is a rare presenting symptom of Intussusception, it should be kept as a differential diagnosis when a child presents with acute onset of drowsiness with or without abdominal symptoms.

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Manifestaciones neurológicas de la invaginación intestinal

Cited by 7 publications

References 16 publications

An Unusual Neurological Form of Acute Intussusception in an Infant: Late Diagnosis and Management

An Unusual Neurological Form of Acute Intussusception in an Infant: Late Diagnosis and Management

Intussusception encephalopathy: a rare case report

Lethargy as an initial symptom of intussusception secondary to Meckel's diverticulum in a 2.5 year-old girl: Case report

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