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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: 339776 (history)  
Form: Version 1.0  
Age: 0.34  
Gender: Male  
Location: Tennessee  
Vaccinated:2009-01-05
Onset:2009-01-08
   Days after vaccination:3
Submitted: 2009-01-12
   Days after onset:4
Entered: 2009-02-18
   Days after submission:37
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3227AA / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D16284 / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1356X / 2 MO / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Colectomy, Intussusception, Ultrasound abdomen, Urinary system X-ray
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), 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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None 2/24/09-meconium aspiration.
Allergies:
Diagnostic Lab Data: KUB/Abdominal ultrasound 2/24/09-records received-pneumatic enema reduction unsuccessful. Head CT normal. Chest x-ray showed small area of atelectasis.
CDC Split Type:

Write-up: Intussusception. Required partial colectomy. 2/24/09-records received for DOS 1/8-1/13/09-DC DX: Intussusception. Presented with 2 day history of lethargy and vomiting, increased fussiness increased reflux. Attempted pneumatic reduction of intussusception unsuccessful. Partial reduction by laparoscopy and partial colectomy with removal of terminal ileum and ileocolostomy. Intussusception irreducile and resection of terminal ileum and right colon.


VAERS ID: 340169 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: New York  
Vaccinated:2008-12-22
Onset:2009-02-06
   Days after vaccination:46
Submitted: 2009-02-10
   Days after onset:4
Entered: 2009-02-20
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B079 / 3 LL / UN
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2787AA / 1 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 808702K / 3 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0924X / 3 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:
Current Illness: None
Preexisting Conditions: None PMH: Currently w/OM & being tx w/oral antibiotics. Family Hx: celiac disease, intussusception & lactose intolerance.
Allergies:
Diagnostic Lab Data: LABS: Abdominal x-ray & KUB abnormal. Segs 47%(H), plts 457(H). Creatinine 8(L), albumin 5.0(H), globulin 2.1(L), AST 42(H).
CDC Split Type:

Write-up: Admitted to hospital 2/6/9 for intussusception. 3/9/09 Received hospital medical records of 2/6-2/7/2009. FINAL DX: Ileocecal intussusception Records reveal patient experienced irritability, abdominal pain, curling up in a ball then sleeping immediately after. Vomited at daycare & in evening had bloody stool. Taken to ER where dx w/IS & enema reduced. Admitted overnight for observation, did well & d/c to home.


VAERS ID: 341098 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: California  
Vaccinated:2008-12-08
Onset:2009-01-02
   Days after vaccination:25
Submitted: 2009-03-04
   Days after onset:61
Entered: 2009-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3240AA / 2 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C83143 / 3 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0593X / 2 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Culture stool, Haematochezia, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (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
Allergies:
Diagnostic Lab Data: Ultrasound, stool culture 3/11/09-records received-US demonstrated intussusception and x-ray with air enema reduction. 3/17/09-records received-KUB and US showed intussusception.
CDC Split Type:

Write-up: Pt experienced vomiting and 1 bloody stool. He was taken to ED where they found he had intussusception. He was treated w/air enema. He was observed for 8 hrs w/o any reoccurance and then released. 3/11/09-records received for DOS 1/6/09-follow up after ER visit for C/O vomiting times 2 days on 1/2/09- 3/17/09-records received for DOS 1/2-1/3/09-DC DX: Intussusception. Presented with 1 day history of vomitng and one bloody stool, abdominal pain, fussy, irritability. Successful reduction via air enema.


VAERS ID: 341225 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Iowa  
Vaccinated:2008-11-17
Onset:2008-11-20
   Days after vaccination:3
Submitted: 2009-03-05
   Days after onset:105
Entered: 2009-03-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B201BA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF515AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C68309 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0925X / 2 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? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PRILOSEC
Current Illness:
Preexisting Conditions: Gastrooesophageal reflux; Omphalitis . PMH: lingual frenulum release
Allergies:
Diagnostic Lab Data: Unknown Labs and diagnostics: Abd US (+) for ileocolic IS. Abd X-ray (+) for SBO. Air enema (+) for IS. WBC 18.1.
CDC Split Type: WAES0903USA00374

Write-up: Information has been received from a physician concerning an 18 week old male patient with a history of reflux and umbilical infection when he was born who on 16-SEP-2008 was vaccinated with the first 2 ml po dose of ROTATEQ. On 17-NOV-2008 the patient was vaccinated with the second 2 ml po dose of ROTATEQ (lot # 662618/0925X). Concomitant therapy included PRILOSEC. Subsequently, the patient experienced intussusception and was hospitalized on 20-NOV-2008. On 22-NOV-2008 the patient was diagnosed with intussusception. The physician decided not to administer the third dose of ROTATEQ. Abdominal surgery was performed and was noted by the reporting physician to be an other important medical event. At the time of reporting, the patient had recovered. Additional information has been requested. 3/23/09 MR received for DOS 11/22-24/2008 with D/C DX: Intussusception. pt presented with several week hx of intolerance to feedings. On 11/20/08 became irritable and fussy, had rust colored urine and vomited large amt. Admitted to local hospital for suspected gastritis. Bilateral hydrocele noted in scrotum with concern for SBO. Transfered to current hospital where abd US confirmed IS. Attempted reduction with air enema failed. To OR for ex lap and reduction. Did well post-op and d/c. F/u 12/16/08-recovered.


VAERS ID: 341569 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: Alaska  
Vaccinated:2008-10-20
Onset:2009-03-08
   Days after vaccination:139
Submitted: 2009-03-11
   Days after onset:2
Entered: 2009-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B150AA / 3 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2786GA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C94097 / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0274X / 3 MO / PO

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

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: no
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: 4/2/09-records received-Unremarkable CMP, normal white count, low hemoglobin 10.5, unremarkable differential. Barium enema releived intussuception. Abdominal x-ray series demonstrates fairly prominent soft tissue density in upper midabdomen could represent changes of intussuception.
CDC Split Type:

Write-up: 10m 3 wk old had INTUSSUSCEPTION, had previously had 3 doses of Rotateq at correct schedule, last dose on 10/20/08 10/20/08-office visit-well baby exam. C/O constipation. 4/2/09-records received for DOS 3/9-3/9/09-DC DX:Febrile illness began on 3/6/09, seen in office normal physical exam, thought to have a viral infection. Fever broke and appeared fine. On day of admission woke up very irritable and acting like her stomach hurt, started vomiting, nonbilious. Seen in ED thought to have gastroenteritis. Returned later that afternoon after patient had a stool with bright red color and a second stool deeper red. Stool positive heme.


VAERS ID: 341630 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Female  
Location: Arizona  
Vaccinated:2009-03-02
Onset:2009-03-10
   Days after vaccination:8
Submitted: 2009-03-12
   Days after onset:2
Entered: 2009-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3226AA / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D26083 / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1585X / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Intussusception, Surgery
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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: mild diarrhea for 2 days
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: LABS: US abdomen x 2 (+) IS. Stool OB (-). BE unsuccessful.
CDC Split Type:

Write-up: Diagnosed with intussusception 8 days after 4 month vaccines. Neede surgery and was discharged 2 days later, 3/16/09 Received hospital medical records for 3/10-3/11/2009 & 3/12-3/15/2009. FINAL DX: Enterocololitis, probable intussusception, exp laparotomy, appendectomy, right inguinal hernia repair Records reveal patient experienced irritability, diarrhea x approx 7-10 days, intermittent abdominal cramping & nonbloody stool x1on 3/10. Multiple attempts to reduce w/BE unsuccessful. Taken to OR where no obvious IS seen. Progressed well post op & d/c to home. Developed recurrent bouts of abdominal pain & cough at home. Taken back to OR for diagnostic laparoscopy where no IS seen but colon dilated, prominent adenopathy & thickened ascending colon. Referred to GI.


VAERS ID: 341802 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2008-12-29
Onset:2009-01-15
   Days after vaccination:17
Submitted: 2009-03-10
   Days after onset:53
Entered: 2009-03-16
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B198BA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF520AA / 2 LL / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH C99098 / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0966X / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Intussusception
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: ZANTAC for GERD 2
Current Illness: None
Preexisting Conditions: None; except GERD 2 PMH: RSV bronchiolitis
Allergies:
Diagnostic Lab Data: 1/15/09 LABS: abdominal x-ray neg. US abdomen (+) IS. Air contrast barium enema unsuccessful.
CDC Split Type:

Write-up: About 2 weeks s/p ROTATEQ vaccine, child had intussusception. Vaccine 12/29/09, admitted for intussusception 1/15/09. 3/26/09 Received hospital medical records of 1/15-1/17/2009. FINAL DX: Intussusception s/p exp laparotomy w/reduction of IS & appendectomy Records reveal patient experienced anorexia, diet refusal, increased irritability, occasional emesis x 3 days, no BM x 2 days & abdominal pain x 1 day. Had bloody stool in ER. Surgery consult done. Enema did not reduce IS & taken to OR. Progressed well, diet advanced & d/c to home w/surgery f/u. Returned to ER 1/22/09 due to vomiting, diarrhea & irritability & apparent abdominal pain. FINAL DX: gastroenteritis Surgery consult done. LABS: abdominal x-ray & US (-).


VAERS ID: 341826 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Massachusetts  
Vaccinated:2009-02-23
Onset:2009-02-25
   Days after vaccination:2
Submitted: 2009-03-16
   Days after onset:18
Entered: 2009-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C287099 / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C68307 / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0968X / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Enema administration, 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: None
Preexisting Conditions: In utero HIV exposure - patient on AZT for 6 weeks and has negative testing for HIV to date. PMH: none.
Allergies:
Diagnostic Lab Data: labs and Diagnostics: CBC with WBCs 26K. Stool heme (+). KUB (+) for bowel dilitationc/w SBO. US (+) for IS. BE (+) for IS.
CDC Split Type:

Write-up: Patient had an ileo-colic intussusception which presented to the ER 2 days after vaccine administration. It was reduced with an air enema and patient was admitted to the hospital. 4/13/2009 MR received for DOS 2/25-27/2009 with DX: Intussusception. Pt presented with new onset projectile vomiting after eating. One blood streaked BM. PE (+) for fussiness with palpation of the abdomen. Ileocolic IS dx with abd US. Reduced with air contrast BE. Tolerated feeds post procedure and d/c.


VAERS ID: 341949 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Female  
Location: Illinois  
Vaccinated:2009-03-06
Onset:2009-03-11
   Days after vaccination:5
Submitted: 2009-03-17
   Days after onset:6
Entered: 2009-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR 3000AA / 1 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF402HH / 1 UN / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PFIZER/WYETH B0009 / UNK UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D33126 / UNK UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1472X / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Intestinal resection, Intussusception
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-07-05
   Days after onset: 116
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 117 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: REGLAN
Current Illness: none
Preexisting Conditions: Down''s Syndrome; AV canal; Reflux (G-E); Myeloproliferative disorder 5/19/09-records received-PMH: Down Syndrome with transient myeloproliferative disorder. Congenital heart disease.
Allergies:
Diagnostic Lab Data: 5/21/09-records received-Echo abnormal. Ultrasound diagnosis of intussusception.. LABS and DIAGNOSTICS; Thyroid function tests abnormal. Creatinine levels high. Blood cultures (+). Echocardiogram. ECG - abnormal. CT - Abnormal. Lactic acids. Blood gases. Vascular Doppler - Abnormal. KBU - abnormal. Electrolytes abnormal.
CDC Split Type:

Write-up: Intussusception (ileo-cecal) requiring bowel resection. 5/19/09-records received for DOS 1/2/09 and 3/5/09 -clinic notes for follow-up-3/13/09-seen in clinic after presenting to ED with large bloody stools times 2 days, developed respiratory distress. Transfusions. Intubated. PICU. Impression: rectal bleeding, DIC, leukocytosis. 5/21/09-operative report received for DOS 3/13/09-exploratory laparotomy with right hemicolectomy and ileocolostomy. DX: Intussusception. Presented with C/O abdominal tenderness and distended abdomen, rectal bleeding. Post operatively developed ARDS, ventialtor dependent. Subsequent surgery 5/7/09 Median sternotomy, PDA ligation, pulmonary artery banding, insertion of right femoral arterial line. 5/12/09-subsequent surgery for closure of sternal wound. Failure to wean from ventilator. 8/11/09 Hospital DC summary, ICD-9 codes received DOS 3/11/09 to 7/5/09. Assessment: Intussusception status post bowel resection, ischemic colitis - septic shock, multi organ system dysfunction. Additional clinical data abstracted: 5/28/09 Continued fever. Signs of sepsis. Parental decision to withdraw care on 7/5/09. Patient expired on 7/5/09. ICD-9 Codes: 786.05 Shortness of breath, 560.0 Intussusception, 286.6 Defibrination syndrome, 557.0 Acute vascular insufficiency of intestine, 785.52 Septic shock, 569.83 Perforation of intestine, 038.49 Septicemia due to gram-negative organism, 038.43 Septicemia due to Pseudomonas, 518.5 Pulmonary insufficiency following trauma and surgery, 745.69 Endocardial cushion defect, 747.0 Patent ductus arteriousus, 238.79 Neoplasm of uncertain behavior of other lymphatic and hematopoietic tissue, 995.92 Severe sepsis, 599.0 Urinary tract infection site not specified, 758.0 Down''s syndrome, 427.5 Cardiac arrest.


VAERS ID: 342506 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Illinois  
Vaccinated:2009-03-13
Onset:2009-03-20
   Days after vaccination:7
Submitted: 2009-03-24
   Days after onset:4
Entered: 2009-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 1794X / UNK MO / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. AC21B207BA / UNK MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prevacid
Current Illness: Yes, URI
Preexisting Conditions: GERD PMH: constipation.
Allergies:
Diagnostic Lab Data: LABS: KUB revealed dilated central bowel loops & paucity of gas in LLQ. Abdominal US (+) IS in LLQ. Air contrast enema reduced. UGI series WNL.
CDC Split Type:

Write-up: Two events of intussusception, each after given rotateq vaccine, the second episode was 7 days after the rotateq was administered. Was life flighted both times. 03/25/09 Received hospital medical records of 2/15-2/17/09 & 3/21/2009. FINAL DX: Intussusception Records reveal patient experienced irritability, emesis, bloody stools. Seen in outlying ER & transferred to higher leve of care. Tx w/IVF, antibiotics. Surgery consult done & PICU. Admitted overnight for observation s/p enema reduction of IS. Radiology noted cecum abnormally positioned in LLQ. Developed increased pain & repeat US (-) for IS. 3/21/09 records consist only of abdominal x-ray & US. X-ray revealed distention of small bowel & possibly large bowel & could not exclude IS; however, US (-) for IS. No further medical records available for this visit.


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