Unusual cases of intussusception.
Intussusception occurs most commonly in the first five years of life and is classically associated with intense intermittent abdominal pain, vomiting, bloody mucoid diarrhea, and a palpable abdominal mass. These cardinal findings are frequently not present, however, particularly outside the usual age range. The emergency physician must therefore be vigilant in considering intussusception as a potential cause for intestinal obstruction in all patients, if ischemic complications are to be avoided. We present three cases of "unusual" intussusception, and provide a review of this entity and a guide to its consideration and work-up in the emergency department.
Pollack
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Division of Emergency Medicine, University of Mississippi Medical Center, Jackson 39216-4505.
Pender
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D000328:Adult; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D007223:Infant; D007443:Intussusception / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications; D008583:Meningitis, Haemophilus / Q000150:complications; D011859:Radiography; D014385:Tuberculosis, Gastrointestinal / Q000150:complications