title: Intussusception presenting with malignant hypertension and lethargy.
abstract: The most common cause of malignant hypertension in children is renal or renovascular pathology. The combination with lethargy suggests a diagnosis of hypertensive crisis with hypertensive encephalopathy. Here, we present a case of severe hypertension with lethargy as the sole presenting symptoms of ileocecal intussusception. Both normalized following surgical repositioning. We conclude that malignant hypertension and lethargy can be presenting symptoms of intussusception.
authors.affiliation: Department of Pediatric Intensive Care, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Andra
authors.initials: A
authors.lastname: de Vries
authors.forename: Nilou
authors.initials: N
authors.lastname: Ashtiani
authors.forename: Nazanin
authors.initials: N
authors.lastname: Ahmadi
authors.forename: Roel
authors.initials: R
authors.lastname: Bakx
authors.forename: Annelies Walrave-Bij
authors.initials: AW
authors.lastname: de Vaate
authors.forename: Arend
authors.initials: A
authors.lastname: Bökenkamp
keywords: Intussusception; Lethargy; Malignant hypertension
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