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Found 753 cases where Vaccine is RV5 and Symptom is Intussusception and Appearance Date on/before '2012-04-30'

Case Details

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VAERS ID: 336841 (history)  
Form: Version 1.0  
Age: 0.17  
Gender: Female  
Location: Illinois  
Vaccinated:2008-11-18
Onset:2008-12-04
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2009-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2956AA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF515AA / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0836 / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C68309 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0641X / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Autopsy, Death, Intussusception, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal obstruction (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-12-04
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None except runny nose
Preexisting Conditions: Prematurity
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient found unresponsive in crib by parents. No symptoms prior - autopsy revealed intussusception. Pronounced dead at ER. 1/23/09 Autopsy report states COD as complications of intussusception. Also states: six areas of IS of small intestine; changes of distant intestine present; early pneumonia; inflammation of lung tissue & small airways. Patient had been found unresponsive in crib after recent history of cold like symptoms with fever.


VAERS ID: 337061 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2008-12-10
Onset:2009-01-08
   Days after vaccination:29
Submitted: 2009-01-12
   Days after onset:4
Entered: 2009-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B138BA / 2 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF242AB / 2 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C87340 / 2 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1032X / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Intussusception
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: GERD PMH: recent OM.
Allergies:
Diagnostic Lab Data: Abdominal series LABS: Stool guiaic neg. abd x-ray & US abnormal. BMP WNL.
CDC Split Type:

Write-up: Intussusception. 2/23/09 Received hospital medical records of 1/8-1/9/2009. FINAL DX: Intussusception Records reveal patient experienced intermittent crying & lethargy x 5 days, periods of inconsolability, abdominal distention & pain, oral intake reduced, c.onstipation Surgery consult done. Tx w/water soluble contrast enema successfully. Admitted overnight for observation. Progressed well & d/c to home


VAERS ID: 337444 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Unknown  
Location: Unknown  
Vaccinated:2008-12-04
Onset:2009-01-06
   Days after vaccination:33
Submitted: 2009-01-14
   Days after onset:8
Entered: 2009-01-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3180AA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0726X / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH DL6279 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1268X / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception, Surgery
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown. PMH: none
Allergies:
Diagnostic Lab Data: Unknown. Labs and Diagnostics: Abd US (+) for IS. Barium enema (+) for IS
CDC Split Type: WAES0901USA00993

Write-up: Information has been received from a physician''s assistant (P.A.) concerning a approximately 3 month old patient who was vaccinated with a dose of ROTATEQ (lot # not reported) at the age of 6 weeks, in approximately Nov 2008. It was reported that the patient experienced intussusception "at 3 months of age", in approximately Jan 2009. Unspecified medical attention was sought. The baby had surgery and was hospitalized on 07-JAN-2009. As of 08-JAN-2009, the patient''s outcome was unknown. Intussusception was considered to be an other important medical event by the reporter. Additional information has been requested. 2/17/09 MR received for DOS 1/7-10/2009 with D/C DX: Intussusception. Pt presented with 1 day hx of persistant nausea with bilious emesis, decreased UO, obstipation, lethargy and irritability. PE (+) for RLQ tenderness. IS noted on US. Reduction attempted with air contrast enema, but unsucessful. To OR for exploratory lap and reduction. Bowel fxn returned 24 hrs post-op and diet advanced. D/C home 1/10/09. .


VAERS ID: 337851 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Maine  
Vaccinated:2008-12-30
Onset:2009-01-11
   Days after vaccination:12
Submitted: 2009-01-15
   Days after onset:4
Entered: 2009-01-21
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3183AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D01074 / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0280X / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Abdominal X-ray, Blood count, Blood culture, Intussusception
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Congenital talipes equinovarus 1/29/09-records received-PMH:bilateral talipes equinovarus. Cavernous hemangioma.
Allergies:
Diagnostic Lab Data: Abdominal X-rays; blood count; blood cultures (Emergency Room). 1/29/09-records received-CT scan demonstrated extensive intussusception in upper rectum. Air contrast enema reduction.
CDC Split Type: ME00209

Write-up: Patient was admitted to medical center. Abdominal CT was performed. Patient diagnosed with intussusception. 1/29/09-records received for DOS 1/11-1/13/09-DC DX: Intussusception. History of hypothermia (34C), obtundation and hematochezia with clots. Lethargic, dehydrated and minimally arousable to tactile stimulation with bright red blood per rectum, left lower quadrant mass felt.


VAERS ID: 338111 (history)  
Form: Version 1.0  
Age: 0.17  
Gender: Male  
Location: California  
Vaccinated:2008-10-20
Onset:2008-12-16
   Days after vaccination:57
Submitted: 2009-01-23
   Days after onset:38
Entered: 2009-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS HC21B150AA / 1 LL / UN
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER UF505AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D05881 / 1 UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0967X / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dehydration, Diet refusal, Faeces discoloured, Haematochezia, Intussusception, Irritability, Pallor, Surgery, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ischaemic colitis (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (broad), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Surgery for intussusception LABS: In outlying ER, CT of abd abnormal. BE unable to reduce IS.
CDC Split Type:

Write-up: It happen over night (Dec 16th 2008), my baby wake up, fussy, did not wanna eat, start vomiting yelow liquid, got pale, went to doc. and told us it could be stomach flu, came home, that night things did not get better, he was not holding anythig in his tummy, and in the morning (Dec 17th 2008) was very dehydrated, had a black pasty, bloody stool, went back to doc office, then to ER and after that we went to another hospital where he had an intussusception surgery (Dec 18th 2008), he recoverd well and now he is doing fine, however before we were able to find out what the problem was......It was the most terrifying 24hrs of our lives. 1/27/09 Received hospital medical records of 12/18-12/22/2008. FINAL DX: Ileoileal intussusception, s/p exp lap, bowel resection & ileoileostomy anastamosis, appendectomy. Records reveal patient experienced vomiting x 2 days, dark stool, lethargy & weight loss. Seen at outlying ER & transfered to higher level of care after attempts to reduce w/BE were unsuccessful. Attempts to reduce in hospital also unsuccessful & taken to OR. Progressed well & d/c to home. 2/2/09 Received PCP medical records of 10/20/2008-01/23/2009 which reveal patient experienced good health on 10/20/08. RTC on 12/16 for irritability, diet refusal, vomiting, pale. Dx as probable viral infection. RTC 1/23/09 s/p IS surgery in good health w/surgical scar healing.


VAERS ID: 338639 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2009-01-27
Onset:2009-01-28
   Days after vaccination:1
Submitted: 2009-01-29
   Days after onset:1
Entered: 2009-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B149A / 3 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF472AB / 3 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1264X / 3 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Intussusception, Surgery
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None. PMH: none
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Abd U/S (+) for IS. Abd X-ray abnormal. BE abnormal.
CDC Split Type:

Write-up: Patient received ROTATEQ on 1-27-09, developed intussusception on 1-28-09, required surgical repair 1-28-09. 2/9/2009 MR received for DOS 1/28-31/2009 with D/C DX: Intussusception. Pt presented with bloody, mucus stools, abdominal pain, irritability, nausea, decreased PO and vomiting. PE (+) RLQ tenderness. IS unable to be reduced using Barium Enema so pt taken to OR for surgery-open reduction with appy. Uncomplicated post-op course.


VAERS ID: 338851 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2009-01-29
Entered: 2009-02-03
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Enema administration, Haematochezia, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0901USA03564

Write-up: Information has been received from an investigator concerning a 3 month old female who was vaccinated with a first dose of ROTATEQ. This report was part of a post-marketing surveillance study. The infant (33 week twin) with 4 days of diarrhea and bloodystool and vomiting for 1 day referred to emergency department to rule out intussusception. The patient was hospitalized on 30-SEP-2007. Diagnosis confirmed by first air contrast enema, second air contrast enema successfully reduced ileocolic intussusception. The patient was discharged home. Event was 53 days post dose 1 of ROTATEQ. Intussusception was determined to be an other important medical event. No further information is available.


VAERS ID: 339106 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Female  
Location: Washington  
Vaccinated:2009-01-29
Onset:2009-02-02
   Days after vaccination:4
Submitted: 2009-02-05
   Days after onset:3
Entered: 2009-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3243AA / 1 LL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB531AA / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D03124 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1357X / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Ascites, Barium double contrast abnormal, Enema administration, Intussusception, Lethargy, Small intestinal obstruction, Ultrasound abdomen abnormal, Ultrasound scan abnormal, Vomiting
SMQs:, Liver related investigations, signs and symptoms (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PMH: newborn jaundice. wt loss. recent URI
Allergies:
Diagnostic Lab Data: Ultrasound and contrast enema showed iliocolic intussusception, complete small bowel obstruction, ascites. Labs and diagnostics: Abd US (+) for IS. Contrast enema (+) for IS. Renal US (+) for ascites. Blood cx (+) for Staph, repeat (-). UC (+) for lactobacillus.
CDC Split Type:

Write-up: Sudden onset of lethargy and vomiting. Hospitalized for lethargy, to rule out sepsis. Continued vomiting lead to diagnosis of intussussception. Successfully reduced by contrast enema. 3/5/09 MR received for DOS 2/3-5/2009 with D/C DX: Intussusception. Pt presented with lethargy and emesis. PE (+) for apathy, systolic murmur, increased bowel tone and petechaie on legs. IS dx by US and reduced by contrast enema. D/C when taking po well.


VAERS ID: 339389 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2009-01-06
Onset:2009-02-08
   Days after vaccination:33
Submitted: 2009-02-10
   Days after onset:2
Entered: 2009-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3081BA / UNK LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF496AA / UNK RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A1229 / UNK LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D06803 / UNK RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1268X / UNK MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Hypophagia, Intussusception, Laparoscopy, Lethargy, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown - Done through ED LABS: US of abd c/w IS. Attempted BE x 2 failed. Surgical pathology: 2 perforations of ileocecum; adenovirus infection of small intestine, mucosal ischemic necrosis & acute serositis; appendix w/adenivirus infection, acute serositis & periappendicitis. Blood, urine, stool & CSF c/s neg. CSF tests WNL.
CDC Split Type:

Write-up: Fever, vomiting x 2 days, lethargic, poor PO. Seen in hospital ED 2/8/09. Admitted, had diagnostic laparoscopy with ileocecectomy. Dx with intussusception with perforated colon on 2-9-09. 2/25/09 Received hospital medical records of 2/8-2/16/2009. FINAL DX: bowel perforation s/p radiological attempt to reduce intussusception; diagnostic laparoscopy; laparotomy; ileocecal resection w/primary anastomosis Records reveal patient experienced abdominal pain, oral intake reduced, sleepy, emesis, decreased UOP, constipation x 2 days. Had been evaluated in outlying ER & had fever, looked unwell & had blood/urine/CSF c/s done. Tx w/antibiotcs & transferred to higer level of care for ped surgery consult. After admitted, had large bloody stool. Progressed well postoperatively & d/c to home w/surgery clinic f/u.


VAERS ID: 339753 (history)  
Form: Version 1.0  
Age: 0.17  
Gender: Male  
Location: Tennessee  
Vaccinated:2009-01-06
Onset:2009-01-09
   Days after vaccination:3
Submitted: 2009-01-14
   Days after onset:5
Entered: 2009-02-18
   Days after submission:35
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR - / 1 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Enema administration, Fluid intake reduced, Hypersomnia, Hypophagia, Intussusception, Listless, Surgery
SMQs:, Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None. PMH: none
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Abd X-ray (+) for obstruction. BE (+) for IS.
CDC Split Type:

Write-up: Intussusception - open reduction after failed enema reduction. Presenting sx: listlessness, decreased feedings (fluid intake) increased sleep. 3/3/09 MR received for DOS 1/10-xx/2008 with DX: Intussusception. Pt presented with acute onset of bloody stools and lethargy with decreased po intake. PE (+) for mild dehydration. IS dx by X-ray confirmed by BE which was only partially able to reduce. Admitted for surgical consult which dx IS. Admitted for Laparoscopy with attempted reduction of IS. Unable to reduce laparoscopically, so laparotomy performed with appendectomy. No post op data available.


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