1 / 11

CT Case: 8 year old with Abdominal Pain

CT Case: 8 year old with Abdominal Pain. Nick Hartman June 20, 2008. Clinical Story. 8 yo male s/p heart transplant as a neonate Presents today with colicky abdominal pain x 2 days, with anorexia and bilious emesis VS: T 36.3 RR 28 HR 116 BP 113/78. Abdominal exam.

urbano
Download Presentation

CT Case: 8 year old with Abdominal Pain

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CT Case: 8 year old with Abdominal Pain Nick Hartman June 20, 2008

  2. Clinical Story • 8 yo male s/p heart transplant as a neonate • Presents today with colicky abdominal pain x 2 days, with anorexia and bilious emesis • VS: T 36.3 RR 28 HR 116 BP 113/78

  3. Abdominal exam • Grossly distended • Hyperactive bowel sounds • Next step: CT scan

  4. Diagnosis: Intussusception • Most common in children aged 6 mo-2 y • Typically presents with abdominal pain, vomiting and bloody stools • For patients above age 2, suspect anatomic abnormality: Meckel’s, tumor, etc. • Radiology: findings of SBO, plus oval “reniform” mass, and intraluminal soft tissue structures • Can often be reduced with barium enema, otherwise treat surgically

  5. Follow-Up • Surgery was performed to reduce the intussusception and to remove the soft tissue mass found to be the cause • Tissue pathology revealed lymphoproliferative disorder • Pt discharged on hospital day 5 with resolved abdominal symptoms, eating normally

  6. References • Gayer G, et al. Adult intussusception – a CT diagnosis. The British Journal of Radiology 2002; 75: 185-190. • Wood BP. Intussusception, Child. E-medicine article, updated 2005. http://www.emedicine.com/RADIO/topic366.htm

More Related