Akinsola Bolanle, Farthing Heather
Department of Pediatric Emergency Medicine Children's Healthcare of Atlanta Atlanta Georgia USA.
Emergency Medicine Emory University School of Medicine Atlanta Georgia USA.
J Am Coll Emerg Physicians Open. 2022 Feb 28;3(2):e12666. doi: 10.1002/emp2.12666. eCollection 2022 Apr.
Abdominal pain and vomiting are common presenting symptoms in young children, and there are a myriad of differential diagnoses ranging from benign to life-threatening. We present the case of a 20-month-old boy who came to the emergency department with abdominal pain, fever, and vomiting. Initially, he was thought to have intussusception with a necrotic lead point based on clinical signs, laboratory findings, and ultrasonography, but was taken to the operating room after air enema failed to demonstrate an intussusceptum. He was ultimately diagnosed with torsion of an undescended testicle. Few cases of torsion of the undescended testes are reported in literature.
腹痛和呕吐是幼儿常见的就诊症状，鉴别诊断众多，从良性疾病到危及生命的疾病都有。我们报告一例20个月大的男孩，他因腹痛、发热和呕吐前来急诊科就诊。最初，根据临床体征、实验室检查结果和超声检查，考虑他患有伴有坏死性起始点的肠套叠，但空气灌肠未能显示出套叠肠管，随后他被送往手术室。最终他被诊断为隐睾扭转。文献中报道的隐睾扭转病例很少。
