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Query: UMLS:C0042963 (vomiting)
 31,883 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This study reviews all childhood intussusceptions treated over a 6 year period in a regional centre with six visiting general surgeons and two paediatricians. Clinical presentation, management, complications and outcomes were noted and an attempt was made to follow up all cases. There were 20 patients, with a median age of 6 months (range 10 weeks to 17 months). Only one patient had all four classical features of intussusception (pain, vomiting, 'red currant jelly' stools and abdominal mass). Seven patients were managed successfully by barium enema reduction, but 14 required operation, four following failed radiological reduction. There was one intestinal perforation due to attempted barium enema reduction and one patient required a reoperation for ileal gangrene following operative reduction. There were no deaths and there have been no subsequent recurrent intussusceptions although three cases were lost to follow up. There was a delay in diagnosis in some cases (average duration from onset to diagnosis was 34 h). Although delay was incurred by parents in some cases and in peripheral hospitals in others, there is a need for greater awareness by surgeons of the significance of subtle features such as pallor and lethargy in a child with persistent vomiting. Delay in diagnosis is likely to lead to an increased need for primary surgical intervention. Adverse features (age > 3 months or < 2 years; symptoms > 24 h; small bowel obstruction; dehydration > 5%) were predictive of an increased likelihood of surgical resection, and may help avoid inappropriate attempts at radiological reduction.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Childhood intussusception in a regional hospital. 794 69

A chronic clinical course for intussusception of the bowel in children is an unusual, but well recognized phenomenon. We report a case of a young child whose symptoms of vomiting and abdominal pains continued for over a month before radiological investigation made the diagnosis of ileocolic intussusception which was then successfully reduced by air enema.
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PMID:Case report: intussusception--a cause of chronic abdominal symptoms and weight loss. 795 39

Sixty six cases of intussusception were admitted to ESCH, Addis Ababa over a 10 year period. Males dominated in the series. Age distribution showed that 69.7% of the cases were < or = 1 year old, and 85% were < or = 2 years old. Abdominal pain, vomiting, bloody mucoid diarrhoea and mass palpated abdominally and/or rectally were the commonest modes of presentations. Intussusception occurred more often in well nourished children, but was rare in severely malnourished ones. An underlying intestinal pathology was found in two cases only. The mortality was high probably because the majority of cases presented late for medical attention. The need for early medical advice, diagnosis and intervention should reduce the mortality.
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PMID:Intussusception in children: a ten year review. 803 78

A retrospective study of 69 cases of intussusception treated at the University of Port Harcourt Teaching Hospital, Port Harcourt, in the past seven years from October 1985 to September 1992 is presented. The diagnosis was made clinically and confirmed at operation. Fifty (72.5%) of the 69 patients belonged to the three to nine-month age group. There was a male preponderance, with a male to female ratio of 3.6:1. The classic triad of abdominal pain, vomiting and rectal bleeding occurred in only 11 (15.9%) patients. All 69 patients had laparotomy as reduction using barium enema was not attempted. Of the 35 patients who required resection, 27 (77.1%) had gangrenous bowel and 2 (2.8%) had perforation. Mortality was 11.6%. The high mortality rate appears to be related to the long interval between onset of symptoms and commencement of definitive treatment.
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PMID:Intussusception in infancy and childhood: analysis of 69 cases. 803 80

A 52-year-old woman was presented with intermittent abdominal pain and vomiting for 10 days. Abdominal CT scan disclosed a dilated small bowel loop with a round solid mass in the right anterior supravesical space. The clinical impression was intussusception caused by small bowel tumor. She underwent an exploratory laparotomy. The macroscopic and microscopic findings confirmed an inflammatory fibroid polyp of jejunum causing intussusception. To the best of our knowledge, this was the 5th reported case of such a presentation in English medical literature.
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PMID:Jejunal inflammatory fibroid polyp presenting as intussusception--a case report with review of the literature. 803 48

An 18-year-old Chinese male was admitted to our hospital with recurrent abdominal pain, abdominal distension and intermittent non-bilious vomiting of about 2 months standing. A mildly tender mass measuring about 6 x 7 cm was present in the right upper quadrant area, and an abdominal computed tomography scan with enhancement showed a clearly encapsulated mass occupying the right side of the upper intra-abdominal area. Endoscopy revealed two huge cauliflower-like polyps and one small polyp in the stomach, and the biopsy specimens showed hyperplastic polyps. Moreover, multiple pigmentation of the buccal mucosa was also noted. The intra-abdominal mass was found to be a gastroduodenal intussusception following laparotomy. Gastroduodenal intussusception occurring secondarily to Peutz-Jegher syndrome, is a rarely documented condition. Only one case has been reported in Japan during the previous years. We report on another case, and review the literature.
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PMID:Gastroduodenal intussusception due to Peutz-Jeghers syndrome. A case report. 805

Inflammatory fibroid polyp is a rare benign lesion of the gastrointestinal tract. This report concerns a 56-year-old female who presented with intermittent abdominal pain, vomiting and diarrhea; she had had partial intestinal obstruction over a period of two months. Plain abdomen showed dilatation of the small bowels. Abdominal echo revealed intussusception of the small intestine. During exploratory laparotomy a polypoid dumb-bell shaped polyp was noted as the leading point of the jejunojejunal intussusception, segmental resection of the jejunum was performed. Histological features of the polyp met the diagnosis of inflammatory fibroid polyp.
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PMID:Inflammatory fibroid polyp of the jejunum causing intussusception: a case report. 816 90

This is the case of a 43 years old woman with recurring epigastric pain for 8 years. She was hospitalized emergently for persistent vomiting causing acute renal failure. Numerous radiologic investigations prior to this hospitalisation showed no pathology. The diagnosis was made this time with a small bowel follow through. Intussusception of tumors is a known cause of small bowel obstruction. The clinical picture however, of severe vomiting causing acute renal failure on the basis of a proximal small bowel obstruction is exceptional.
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PMID:[Jejuno-jejunal invagination in polypoid lipoma producing renal failure]. 822 84

2 infants, 3 months old and 8 months, respectively, with restlessness and vomiting were each found to have ileocolic intussusception with barium filling defects. Laparotomy disclosed in each a dome-shaped structure, 2 cm and 0.6 cm in greatest diameter, respectively, on the antimesenteric side of the ileal wall. Histological examination showed cystic duplication of the ileum. It is suggested that manual reduction generally fails when cystic duplication is an etiological factor, and surgery is then mandatory.
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PMID:[Intestinal cystic duplication in infants and the etiology of intussusception]. 825 2

One case of chronic intussusception (ileo-ileo colic) is reported. A seven and a half year old male had presented with colicky abdominal pain, vomiting, a palpable abdominal mass, infrequent passage of mucus or blood with stools and weight loss over a period of six weeks. There was delay in diagnosis due to unusual presentation and a low index of suspicion. The patient had been admitted to a peripheral general hospital for four weeks where he was treated for amoebic dysentery without improvement, before his transfer to our hospital where the diagnostic problem continued, until the paediatric surgical unit was called in.
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PMID:Chronic non-strangulating incompletely obstructing intussusception: with case report of a seven and a half year old Nigerian boy. 826 4


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