Crying, irritability and right abdominal mass are not always synonyms of intussusception

Iván Carabaño Aguado^a, Enrique La Orden Izquierdo^b, Francisco Pelayo Baeza^c, Guillermo Gallardo Madueño^d

^aSección de Gastroenterología, Hepatología y Nutrición Pediátrica. Servicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
^bUnidad de Gastroenterología y Nutrición. Servicio de Pediatría. Hospital Infanta Elena. Valdemoro. Madrid. España.
^cServicio de Pediatría. Hospital Infanta Elena. Valdemoro. Madrid. España.
^dServicio de Radiología. Hospital Rey Juan Carlos. Móstoles. Madrid. España.

Correspondence: I Carabaño. E-mail: carabano1975@hotmail.com

Reference of this article: Carabaño Aguado I, La Orden Izquierdo E, Pelayo Baeza FJ, Gallardo Madueño G. Crying, irritability and right abdominal mass are not always synonyms of intussusception. Rev Pediatr Aten Primaria. 2011;13:595-600.

Published in Internet: 30-01-2012 - Visits: 22298

Abstract

Acute urinary retention in children is seldom described in medical literature. There is no predominance of sex, and their median age is four years. It can be primary (nephrourological diseases) or secondary to different conditions (surgery, immobility, chronic neurological disorders, mental retardation, drugs abuse, anticholinergics, constipation). It can simulate an intussusception, with severe abdominal pain and irritability. The treatment is the evacuation of urine by catheterization. It should be done in stages if the bladder volume is very high, to avoid ex-vacuo hematuria.

Keywords

● Child ● Diagnosis ● Intussusception ● Urinary retention

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