Louachama Ouidad, Rada Noureddine, Draiss Ghizlane, Fouraiji Karima, Ouled Saiad Mohamed, Bouskraoui Mohamed
Pediatric Department A, Mother and Child Hospital, Mohamed VI Marrakesh University Hospital, Marrakesh City, Morocco.
Surgery Pediatric Department B, Mother and Child Hospital, Mohamed VI Marrakesh University Hospital, Marrakesh City, Morocco.
Case Rep Pediatr. 2019 Jul 8;2019:5102615. doi: 10.1155/2019/5102615. eCollection 2019.
Acute intussusception is one of the most common causes of intestinal obstruction in infants and small children and involves the invagination of one bowel segment into another. The clinical signs can be deceptively misleading when there is only one symptom or when an unusual symptom is in the foreground, especially in infants less than 1-year-old. We report a case of an infant with an acute intussusception where the neurological symptoms are predominant. The neurological form is the expression of major vascular narrowing of the collar of the intestinal intussusception; this form is rare and misleading and can be responsible for a delayed diagnosis.
急性肠套叠是婴幼儿肠梗阻最常见的病因之一,涉及一段肠管套入另一段肠管。当仅出现一种症状或突出表现为不寻常症状时,临床体征可能具有误导性,尤其是在1岁以下的婴儿中。我们报告一例以神经症状为主的急性肠套叠婴儿病例。神经型是肠套叠颈部主要血管狭窄的表现;这种类型罕见且具有误导性,可能导致诊断延迟。