4-Year-Old Girl With Intermittent Abdominal Pain for 3 Months, Difficulty Passing Stools for 2 Weeks, and Intermittent Vomiting for 2 Days

2016 ◽  
pp. 239-244
Author(s):  
Muhammad A. Khan
2021 ◽  
pp. 000313482110474
Author(s):  
Gwyneth A. Sullivan ◽  
Nicholas J. Skertich ◽  
Kody B. Jones ◽  
Michael Williams ◽  
Brian C. Gulack ◽  
...  

Intussusception is the most common cause of bowel obstruction in infants four to ten months old and is commonly idiopathic or attributed to lymphoid hyperplasia. Our patient was a 7-month-old male who presented with two weeks of intermittent abdominal pain associated with crying, fist clenching and grimacing. Ultrasound demonstrated an ileocolic intussusception in the right abdomen. Symptoms resolved after contrast enemas, and he was discharged home. He re-presented similarly the next day and was found to be COVID-19 positive. Computed tomography scan demonstrated a left upper quadrant ileal-ileal intussusception. His symptoms spontaneously resolved, and he was discharged home. This suggests that COVID-19 may be a cause of intussusception in infants, and infants presenting with intussusception should be screened for this virus. Additionally, recurrence may happen days later at different intestinal locations. Caregiver education upon discharge is key to monitor for recurrence and need to return.


2014 ◽  
Vol 2014 (oct29 1) ◽  
pp. bcr2014207297-bcr2014207297 ◽  
Author(s):  
I. Seow-En ◽  
F. J. Foo ◽  
C. L. Tang

Author(s):  
Kirk J. Matthews ◽  
Jori S. Carter ◽  
David Chelmow ◽  
Christine R. Isaacs ◽  
Ashley Carroll

2019 ◽  
Vol 47 (7) ◽  
pp. 3354-3359 ◽  
Author(s):  
Ming-en Zhao ◽  
Ling-qiang Zhang ◽  
Li Ren ◽  
Zhen-wei Li ◽  
Xiao-lei Xu ◽  
...  

A 65-year-old man had intermittent abdominal pain for the previous 2 years. This pain suddenly became worse with a fever and elevated inflammatory markers. We took a while to diagnose the patient with mesenteric panniculitis (MP). Although imaging findings suggested MP, we needed to rule out other diseases. Choosing a treatment for the patient also took some time and we finally used glucocorticoid to cure the patient.


2020 ◽  
Vol 2020 (3) ◽  
Author(s):  
Shreya Sharma ◽  
Rajesh Joshi

Abstract Ectopic adrenocorticotropic hormone (ACTH) syndrome (EAS) is exceedingly rare in children and scarcely reported. Pancreatic neuroendocrine tumours (NETs) can rarely lead to secretion of ectopic ACTH. A 14-year-old boy presented with hyperpigmentation, hypertension and intermittent abdominal pain, and was diagnosed with endogenous hypercortisolism. An incidental pancreatic mass discovered on routine ultrasonogram (USG) revealed the source of ACTH. He underwent successful excision of the mass with resolution of hypercortisolism. The histopathology revealed a Pancreatic NET and immunohistochemistry was positive for ACTH stain.


2016 ◽  
Vol 101 (9-10) ◽  
pp. 420-425
Author(s):  
Shuichiro Oya ◽  
Yukinori Yamagata ◽  
Kouichi Yagi ◽  
Takashi Kiyokawa ◽  
Susumu Aikou ◽  
...  

Adult intestinal intussusception is a rare disease known to be associated with intestinal tumors. We describe a case requiring partial ileal resection in 2 occasions due to intussusception from multiple lipomatosis. A 45-year-old Japanese man was referred to our hospital for detailed examination after positive fecal blood test results and intermittent abdominal pain. He was diagnosed with intussusception of the ileum due to multiple lipomatosis and underwent partial ileal resection. Three years after the first surgery, he again experienced intermittent abdominal pain and nausea, and was referred to our department. Contrast-enhanced computed tomography at this time also showed intussusception near the ileocecal valve, with several fat-density tumors. He underwent partial ileal resection as an emergency surgery, with the histologic diagnosis confirming ileal multiple lipomatosis. Repeated surgical resections are sometimes required for patients with intestinal intussusception due to lipomatosis, since lipomas not causing symptoms are often left untouched after minimal resection. Close follow-up such as contrast-enhanced CT and small-bowel endoscopy after surgery should be performed regularly so that the patients can avoid emergency surgeries because of the insufficient preoperative examinations.


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