Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0042963 (vomiting)
 31,883 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

An eight-day-old girl had sonography performed to rule out pyloric stenosis because of recurrent vomiting and a right upper quadrant mass. Caudal to the normal pylorus sonography demonstrated an elongated mass containing two hypoechoic rings with a cyst at the end of it. An ileocolic intussusception was then diagnosed by a barium examination. Surgery confirmed the diagnosis, the leading mass being a duplication cyst.
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PMID:Neonatal ileocolic intussusception with enterogenous cyst: ultrasonic diagnosis. 666 3

This study is a review of all cases of intussusception from December 1971 to December 1981 at the Erlanger Medical Center in Chattanooga. Only 24 cases were found. A disproportionate number of patients were white (92%). The male to female ratio was 2 to 1. There was no regular seasonal variation. Several patients were below the third percentile in weight for their ages. The most common signs and symptoms were vomiting, pain, and bleeding per rectum. The occurrence of anatomic lead points was high, and the success rate for hydrostatic reductions was low. The use of glucagon before barium enema increased the success rate of hydrostatic reduction by 75%, from four successful reductions to seven of 20 attempts.
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PMID:Intussusception: a case review. 670 21

Intussusception in the newborn is a unique clinical entity, and one of the most unusual causes of intestinal obstruction in infants. Its cause can be idiopathic, secondary to a local lesion or a complication of disease. Early diagnosis and treatment are important, because survival depends on them. The authors report a case of jejunal atresia secondary to intrauterine intussusception, followed by a literature review. Less than 30 cases have been adequately documented in the world literature. Eight reports from the literature are selected to highlight clues for early diagnosis, such as vomiting, with or without bile, abdominal distension and bloody stools, because of their prognostic implications. Intussusception is rare under the age of 3 months; the incidence is 0.3% in the neonatal period. Previous reports indicate that a confusing clinical picture has led to a delay in operation and a high mortality. The ultimate outcome depends on an acute awareness of the condition in the presence of the diagnostic clues in a newborn.
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PMID:Intrauterine intussusception: case report and literature review. 686 Oct 38

In 138 mongrel dogs given renal transplants, 10 developed postoperative intussusceptions. The sites were jejunojejunal (seven), ileo-ileal (two) and ileocolic (one). In 30 puppies given intrasplenic autografts of dispersed pancreatic fragments after total pancreatectomy, five developed jejunojejunal intussusceptions. Presenting signs included vomiting, failure to eat, periodic attacks of pain, straining with the passage of bloodstained mucous, dehydration, weight loss, abdominal wall rigidity and an abdominal mass. The majority of dogs presented within the first seven days following transplantation, occasionally as late as the third week. Early operative intervention was essential to save the dogs and at laparotomy eight of nine intussusceptions were successfully reduced manually; one small bowel resection was performed for irreducibility. Recurrence was not observed in this series but reoperation in the puppies was invariably fatal. Factors contributing to the development of intussusception in the puppies included round worm infestation, recent dietary change following weaning, malabsorption and diarrhoea due to pancreatic insufficiency following pancreatectomy and respiratory infections suggesting an infective origin for the intussusceptions.
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PMID:Canine intestinal intussusception following renal and pancreatic transplantation. 701 80

57 patients with acute intussusception were admitted to the Children's Hospital Zurich between 1972 and 1979. All were treated surgically. One died, 7 needed a bowel resection, 9 intussusceptions were difficult and 32 easy to reduce. The retrospectively reviewed data show that the classic symptomatology, beginning suddenly in a healthy male (60%) under 3 years of age (91%) with attacks of colicky pain (81%), vomiting (93%), a palpable abdominal mass (72%) and rectal bleeding (72%), appears during the course of illness or may not be present at all. This leads to misdiagnosis, wrong treatment and worsening of the pathology. Blood per rectum, the most typical symptom, was present in the first hours of illness in only 5%, vomiting in 44% and colicky pain in 33% of the patients. A high degree of awareness is therefore necessary to diagnose intussusception during the first hours of illness, and particular stress must be laid on the accuracy of the diagnosis because reducibility and resection rate depend directly on the duration of the symptoms.
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PMID:Acute intussusception: a classic clinical picture? 715 57

The author reports 5110 cases of intussusception in infancy and childhood treated during the last 21 years. He makes a complete analysis on age, sex and seasonal frequency of 1597 cases met in the first six year period (1960 to 1965). Then, a statistic of 4 chief symptoms of 1000 consecutive cases under two years of age is given: abdominal pain 95,2%, vomiting 91,7%, bloody stool 83,3%, and sausage-shaped mass 73,6%. Among 5110 cases, only 512 were laparotomized, there were demonstrable organic causes in 22 cases. The method of reduction by colonic insufflation is described in detail step by step, with its indications, counterindications and possible complications. The author also presents his air insufflation apparatus with automatic control of the intracolonic pressure. Finally, he emphasizes the advantages of this method: of 4841 cases submitted to colonic insufflation, complete reduction was achieved in 4598, i.e. 94.98%, the rate of reduction is higher than that of barium enema. Thus, this method greatly decreased the need of operation, and consequently reduce the mortality and morbidity of the disease. Reduction of intussusception by colonic insufflations performed ambulatory and at a very low cost.
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PMID:[Treatment of intestinal invagination with particular emphasis on reduction by colonic insufflation. Report on 5110 cases]. 716 87

The main difference between intussusception in children and adults is its mostly chronic course in adult age. Whereas the mechanical ileus is characterized by acuteness the prevailing chronic form will often lead to wrong diagnoses, thus causing a delay of adequate therapy. Sonography, radiologic and endoscopic investigations should be applied for diagnosing this disease. In most cases the indication for surgery does not correspond to the real cause. There are 4 typical symptoms: pain, vomiting, tumour and melena which should induce the diagnostician to pay attention to intussusception also in adult age.
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PMID:[Intestinal intussusception in the adult]. 717 Aug 46

A case of acute jejunogastric intussusception is reported. The patient had suffered intermittent attacks for 7 years, and had an acute fulminating attack prior to the present admission. Chronic recurrent jejunogastric intussusception should be considered a possible cause of pain and vomiting in patients who have had gastrojejunostomy or gastric resection.
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PMID:Jejunogastric intussusception, an acute exacerbation diagnosed by gastroscopy. 723 28

Abdominal pain, vomiting, and obstipation often occur in children and young adults with cystic fibrosis (CF). The common causes include meconium ileus equivalent, intussusception, and adhesions from previous surgery. One of our patients with CF who had meconium peritonitis as a neonate presented with duodenal obstruction during childhood. This was caused by colonic polyps arising in the hepatic flexure and eroding through the colonic and duodenal walls into the duodenum. She was treated with total parenteral nutrition, right colectomy, gastric diversion, and a controlled duodenal fistula that healed uneventfully. She has remained well 1 year after discharge from the hospital. To our knowledge, a similar case has not been reported previously.
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PMID:Colonic polyps and coloduodenal fistula: unusual complications in patient with cystic fibrosis. 724 43

To assess the nutritional status of children with intussusception, the weight, length, and weight-for-length percentiles of 100 children with intussusception and 100 children admitted to the hospital for elective surgery was determined and compared with the National Center for Health Statistics standards. Of the children with intussusception, 26% were found to have a weight-for-length ratio below the fifth percentile while only 11% of the children admitted for elective surgery had ratios below the fifth percentile. This difference could not be explained by duration of symptoms, vomiting, or diarrhea. Therefore, although children with intussusception may appear "well nourished" they are no better nourished than the general population and, in fact, a significant number exhibit anthropometric data suggestive of malnourishment.
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PMID:The well-nourished infant with intussusception. Fact or fallacy? 724 86


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