de Vries Andra, Ashtiani Nilou, Ahmadi Nazanin, Bakx Roel, de Vaate Annelies Walrave-Bij, Bökenkamp Arend
Department of Pediatric Intensive Care, University Medical Center Groningen, Groningen, The Netherlands.
Case Rep Nephrol Urol. 2013 Jul 17;3(2):105-9. doi: 10.1159/000353849. Print 2013 Jul.
The most common cause of malignant hypertension in children is renal or renovascular pathology. The combination with lethargy suggests a diagnosis of hypertensive crisis with hypertensive encephalopathy. Here, we present a case of severe hypertension with lethargy as the sole presenting symptoms of ileocecal intussusception. Both normalized following surgical repositioning. We conclude that malignant hypertension and lethargy can be presenting symptoms of intussusception.
儿童恶性高血压最常见的病因是肾脏或肾血管病变。伴有嗜睡提示诊断为高血压危象合并高血压脑病。在此，我们报告一例以嗜睡为回盲部肠套叠唯一表现症状的严重高血压病例。经手术复位后两者均恢复正常。我们得出结论，恶性高血压和嗜睡可能是肠套叠的表现症状。
