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Life Threatening? Yes
Write-up: Patient brought to office by mom with c/o vomiting x6 and green pasty stools x 4. Decreased appetite, lethargy, and squealing with pain. Patient admitted to hospital for dehydration. In the hospital pt developed billous enemis and abdominal distention. Surgery showed ileocolic intussusception with partial volvulas. 1/22/07 Received medical records from hospital which reveal patient admitted 12/20-12/25/06 after 2 day hx of emesis, progressive lethargy & increasing abdominal distention. Seen in ER & admitted to outlying hospital overnight & then transferred to Childrens. Progress notes, labs & rad from 1st hospital included. Taken to OR for exp lap & found to have ileocolic intussussception, partial volvulus secondary to mobile cecum in LUQ both of which reduced w/o complication & Meckels diverticulum. Appendix was also removed. FINAL DX: Ileocolic intussussception with partial volvulus s/p surgical reduction; appendectomy; & Meckels diverticulum.
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