Abdominal pain, abdominal mass & currant jelly stool.
There are some points we want to make in this case:
The information found in most doctors that intussusion condition should be with rectal bleeding or currant jelly stool.
The fact that this is never a condition…
Stool of normal appearance may be evacuated in the first few hours of symptoms.
- The second information is that the child may be able to examine during his examination, it does not hurt:
The infant may be comfortable and play normally between the paroxysms of pain.
- The third information is the existence of the mass
This is also not a condition
30% of patients don’t have a palpable mass.
- We also bear in mind that it is not a requirement that it comes after intestinal disasters
90% idiopathic.
- The shocking information says:
The classic triad of pain, apalpable mass & currant jelly stool is seen in less than 30% of cases
So… her diagnosis must be with her high grade of suspicion
In addition to good clinical history.
We also know that sonar is very important in these cases:
It has a sensitivity 98% to 100%.
This post is written because the last case I met was the dawn of Eid Al-Fitr, and it was not with her, no pain nor currant jelly stool
This is her report… Thank God the child made reduction and stayed good.
And don’t forget:
The mortality rate rises rapidly after 24 hours, and if untreated, it is usually fatal.
God bless you all