Year: 1967
Type: article
Abstract: MtC-.YOW& titioner palpated an epigastric mass.On admis- sion the child appeared well.He was afebrile and the pulse rate was normal.The abdomen was soft and the presence of a mass was not confirmed.Rectal examination was negative, and plain x-rays of the abdomen showed no evidence of fluid levels or dilated loops of bowel.He was therefore observed for 24 hours, after which time he complained of further abdominal pain.Examination during a spasm of pain confirmed the presence of a tender sausage-shaped mass in the epigastrium.A diagnosis of intussusception was made, and an immediate barium enema performed, which con- firmed this.The apex lay in the epigastrium.This was readily reduced by the pressure from the enema, and filling was obtained to the caecum.No barium entered the terminal ileum, and a filling defect was demonstrated in the ileocaccal region (Fig. 1).It was not possible to be certain, therefore, that reduction had been complete.
Source: BMJ
Author: S Murray
Language: English
Topic: Blood groups and transfusion
Subfield: Hematology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2986126184