Alowainati Zainab H, Salman Zainab H, Alhamad Hibah A, Alsudairy Njood
College of Medicine, Jordan University of Science and Technology, Irbid, JOR.
College of Medicine, Cairo University, Cairo, EGY.
Cureus. 2024 Dec 31;16(12):e76664. doi: 10.7759/cureus.76664. eCollection 2024 Dec.
Intussusception is a leading cause of acute intestinal obstruction in infants, typically presenting with a classic triad of intermittent abdominal pain, vomiting, and currant jelly stools. However, atypical presentations can lead to diagnostic delays, increasing the risk of complications. This report describes a seven-month-old male with an unusual presentation of lethargy and irritability, without overt gastrointestinal symptoms. Initial clinical examination, including abdominal palpation and laboratory tests, was inconclusive. However, abdominal ultrasonography revealed a subtle "target sign," confirming intussusception despite the absence of hallmark signs. The patient underwent successful hydrostatic reduction under fluoroscopic guidance, with no pathological lead points identified. The case highlights the importance of maintaining clinical suspicion for intussusception in atypical presentations, emphasizing the critical role of early imaging in achieving timely diagnosis and favorable outcomes. Additionally, it underscores the need for vigilant post-reduction monitoring and parental education regarding recurrence.
肠套叠是婴儿急性肠梗阻的主要原因，通常表现为间歇性腹痛、呕吐和果酱样大便这一典型三联征。然而，非典型表现可能导致诊断延迟，增加并发症风险。本报告描述了一名7个月大的男性，其表现为嗜睡和易怒这种不寻常症状，无明显胃肠道症状。包括腹部触诊和实验室检查在内的初始临床检查结果不明确。然而，腹部超声显示出细微的“靶征”，尽管没有典型体征，但仍确诊为肠套叠。该患者在透视引导下成功进行了水压复位，未发现病理性引导点。该病例强调了对非典型表现的肠套叠保持临床怀疑的重要性，强调了早期影像学检查在实现及时诊断和良好预后方面的关键作用。此外，它还强调了复位后进行密切监测以及对家长进行关于复发的教育的必要性。
