Lymphoma; a common cause of Intussusception above 6 years

An 8 year old is seen in the emergency room secondary to abdominal pain. Further evaluation confirms the presence of intussusception. The most likely precipitating cause is

• A) colon polyp
• B) Meckel's diverticulum
• C) lymphoma
• D) parasite infection
• E) foreign body

The answer is ( C ).
Intussusception is the most common cause of intestinal obstruction in the first 2 years of life. It is more common in males than in females. In most cases (85%) the cause is not apparent. Associated conditions that can result in intussusception include polyps, Meckel's diverticulum, Henoch–Schönlein purpura, lymphoma, lipoma, parasites, foreign bodies, and viral enteritis with hypertrophy of Peyer patches.

Intussusception of the small intestine occurs in patients with celiac disease and cystic fibrosis—related to the bulk of stool in the terminal ileum. Henoch–Schönlein purpura may also cause isolated small-bowel intussusception. In children older than 6 years, lymphoma is the most common cause. Intermittent small-bowel intussusception is a rare cause of recurrent abdominal pain.

ABC of Pediatric Surgical Imaging (ABC series)

This book has been specifically designed to serve as a quick reference that will be of immediate help in decision making. The book is ordered alphabetically according to diagnoses. The intention is that the clinican consults the information on a suspected diagnosis, and then considers the surgical and radiological differential diagnoses that are listed. A total of 80 common diagnoses are covered. For each diagnosis, the left-hand page presents information relevant to the surgeon, while the right-hand page is designed for the radiologist. The information for the surgeon comprises clinical insights, including symptoms, warnings, controversies, important facts of which the surgeon should be aware, and the surgical differential diagnosis. The intention is to enable the surgeon to request the most suitable investigation using the appropriate terminology, ensuring that the correct test is done within the correct time frame. The radiologist is provided with lists of the primary and follow-on investigations, the imaging findings, and helpful tips, as well as the radiological differential diagnosis. Informative supporting images are included for each diagnosis. The authors are all experts in their fields, with extensive practical experience and in-depth knowledge of new imaging techniques. This book belongs in the pocket of every student, house officer, resident, medical officer, or generalist consultant who may be the first practitioner to see the patient.

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Pediatric Bone Marrow Aspiration

Osteogenesis imperfecta and it`s subtypes

Krish 5 Year old boy brought to the hospital by his mother because she has noticed that her child did not have appropriate height for his age and having Mild limb deformity.This child has a previous Hx of Right tibial fracture when the child was 3years old.

Osteogenesis imperfecta

Osteogenesis imperfecta also known as Brittle Bone Disease or Lobstein syndrome
It is a group of diseases where ..............

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