Intussusception differential diagnosis: Difference between revisions

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Revision as of 00:14, 3 January 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Differential Diagnosis

The differential diagnosis of intussusception depends on the presenting symptoms:

●Rectal bleeding and vomiting:

•Meckel diverticulum

•Bacterial or amoebic colitis

•Malrotation with midgut volvulus

These and other causes of rectal bleeding are summarized in separate topic reviews. (See "Lower gastrointestinal bleeding in children: Causes and diagnostic approach" and "Meckel's diverticulum" and "Intestinal malrotation in children".)

●Acute onset of crampy abdominal pain:

•Gastroenteritis

•Appendicitis

•Mesenteric ischemia

•Ovarian torsion

•Malrotation with volvulus

•Incarcerated hernia

•Peritonitis

References

Template:WS Template:WH

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Intussusception}}
-{{CMG}}; {{AE}} {{SSW}}
+{{CMG}}; {{AE}}
 ==Overview==
 ==Differential Diagnosis==
-* [[Acid reflux]] / [[heartburn]]
+The differential diagnosis of intussusception depends on the presenting symptoms:
-* [[Appendicitis]]
-* [[Gastroesophageal Reflux Disease]]  Between the painful episodes, the child may behave relatively normally and be free of pain. As a result, initial presentation can be confused with that of gastroenteritis [45]. As symptoms progress, increasing lethargy often develops, which can be mistaken for meningoencephalitis. Some authors have hypothesized that the lethargy is caused by increased levels of endogenous opioids, suggested by cases with pupillary miosis and reversal with naloxone [46].
-"Maintaining a high index of suspicion for intussusception is essential when evaluating a child younger than 5 years who presents with abdominal pain or when evaluating a child with HSP or hematologic dyscrasias.""
+●Rectal bleeding and vomiting:
+•Meckel diverticulum
+•Bacterial or amoebic colitis
+•Malrotation with midgut volvulus
+These and other causes of rectal bleeding are summarized in separate topic reviews. (See "Lower gastrointestinal bleeding in children: Causes and diagnostic approach" and "Meckel's diverticulum" and "Intestinal malrotation in children".)
+●Acute onset of crampy abdominal pain:
+•Gastroenteritis
+•Appendicitis
+•Mesenteric ischemia
+•Ovarian torsion
+•Malrotation with volvulus
+•Incarcerated hernia
+•Peritonitis
 ==References==

Intussusception differential diagnosis: Difference between revisions

Revision as of 00:14, 3 January 2018

Overview

Differential Diagnosis

References

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