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February 4, 1939


Author Affiliations

Lima, Ohio

From the Department of Surgery, University of Louisville School of Medicine, Louisville, Ky.

JAMA. 1939;112(5):422-423. doi:10.1001/jama.1939.62800050001009

In view of the scarcity of reports in the literature of traumatic intussusception, the following case is presented.

P. N., a schoolboy aged 9 years, was admitted to the hospital with a diagnosis of internal injury. One-half hour before admission two wheels of an automobile truck had run over the lower part of the child's abdomen.

On physical examination the temperature was 98 F. the respiration rate 24 and the blood pressure 108 systolic, 76 diastolic. The patient was crying and complained of generalized abdominal pain. The physical changes found at examination were confined to the abdomen, which was voluntarily rigid. Over the lower part of the abdomen were numerous cutaneous burns and abrasions.

Laboratory work, consisting of urinalysis and roentgenograms of the abdomen, spine and pelvis, offered nothing of positive diagnostic importance.

Since a competent eye witness had seen the child's abdomen run over by two wheels of a