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Life Threatening? No
Write-up: Child developed vomiting on 4/20/08 and was evaluated at hospital. An UGI showed intussusception. It was easily reduced with a Hypaque enema. 5/02/2008 MR received for ER visit 4/20/2008 with DX: Intussusception. Infant presented vomiting, refusal to eat, increased sleeping. Bilious green emesis in ER. IS noted on UGI and BE. Successfully reduced. 7/31/09 Hospital records received DOS 7/2/09 to 7/9/09. First Admission 7/2/09 to 7/4/09. Assessment: Recurrent intussusception. Patient presented with vomiting. Reduction of intussusception by enema. Second Admission 7/5/09 to 7/9/09. Discharged Diagnosis: Recurrent intussusception status post ileocolic resection and ileotransverse colon renanastomosis. After several previous reductions of intussusception by enema. Patient presented with increased fussiness, gastric emesis, bilious emesis. Decreased appetite. Bloody stool. Palpable epigastric mass. Enema reduction unsuccessful. Exploratory laparotomy with ileocolic resection and ileotransverse colon renanastomosis. Appendectomy. Ileum was quite edematous and lymph nodes in the ileocolic mesentary were massive.
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