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November 1978

Intussusception in a 14-Year-Old Boy Secondary to an Intramural Fecalith

Author Affiliations

Department of Pediatrics University of California, San Diego 6529 La Jolla Blvd La Jolla, CA 92037

Am J Dis Child. 1978;132(11):1140-1141. doi:10.1001/archpedi.1978.02120360096020

Intussusception in an adolescent population is an unusual occurrence. Published reviews of intussusception in infancy and childhood have consistently indicated a 60% to 90% occurrence rate in children younger than 2 years of age.1 To our knowledge, an intramural fecalith as a lead point for intussusception has not previously been reported in the major reviews of this entity.

Report of a Case.—A 14-year-old boy was admitted for evaluation of intermittent acute abdominal pain of nine to ten days' duration. He had had an appendectomy at the age of 3 years. His father was listed as missing in action (MIA), and the boy had been under psychiatric care from age 7 to age 10 because of difficulties arising from this situation.

He developed acute abdominal pain associated with one episode of emesis three days after the government announced that no MIAs were considered to be alive. He was evaluated

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