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Life Threatening? Yes
Write-up: Information has been received from a physician concerning a 3 month old patient who was vaccinated with the first dose of Rotateq. Subsequently, the patient experienced intussusception and was hospitalized. Intussusception was considered to be immediately life-threatening and an other important medical event. The outcome was not reported. Additional information has been requested. 4/6/07 Received medical records from both hospitals today which reveal: Hospital #1 ER - seen 3/10/07 for blood in stool night before & that AM. Also vomited that AM. Was seen by PCP on 3/9 & thought to be possible allergy, tx w/benadryl. After second bloody stool, went to ER. Dx w/acute GI bleed. Tx w/IVF & transferred to higher level of care. Hospital #2 Admission 3/10/07-3/13/07. Received into PICU & surg consult obtained. Exam revealed patient to be lethargic & mildly dehydrated despite prior IVFs. Abdomen was soft, nondistended w/+BS but also with a palpable mass along the left side of the abdomen, LLQ. Rectal exam revealed mucosal mass almost protruding from rectum. Air contrast enema x2 failed to reduce. Patient taken to OR for exp lap, reduction of right colon-ileocecal IS w/difficulty due to edematous & ischemic cecum & appendectomy. Patient progressed well & was able to tolerate oral diet prior to d/c on 3/13/07. FINAL DX: Ileocecal intussusception, surgically reduced.
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