Intussusception in an infant complicating dengue infection


  • Fadila . Ratan Hospital for Women and Children, Patna, Bihar, India
  • Md. Faraz Omair Department of Medicine, All India Institute Of Medical Sciences, Patna, Bihar, India
  • Neeta Kevlani Ratan Hospital for Women and Children, Patna, Bihar, India



Intussusception, Dengue, Infection


Intussusception is the most common abdominal emergency in children younger than 2 years of age. A 6-month-old child presented as dengue with gross abdominal distension to our hospital. Dengue was managed using standard therapy as per world health organization protocol, while abdominal pathology, later found out to be intussusception, required exploratory laprotomy. At the outset, abdominal distensions in the setting of a severe dengue infection, could be misdiagnosed as ascites due to capillary leakage, masking the clinical findings of acute abdomen on examination.  Although unusual, it is possible to find two concurrent illnesses simultaneously, one complicating the typical clinical course expected from the other, and this needs high index of suspicion due to different management strategies of both. We describe here the diagnostic dilemma of such a case.

Author Biography

Fadila ., Ratan Hospital for Women and Children, Patna, Bihar, India

Department of pediatrics



West KW, Stephens B, Vane DW, Grosfeld JL. Intussusception: current management in infants and children. Surgery. 1987;102(4):704-10.

Dutta AK, Biswas A, Baruah K, Dhariwal AC. National guidelines for diagnosis and management of dengue fever/dengue hemorrhagic fever and dengue shock syndrome. J Ind Med Assn. 2011;109(1):30-35.

World Health Organization and Tropical Diseases Research. Handbook for clinical management of dengue. Geneva: World Health Organization. 2012;111.1

World Health Organization and Tropical Diseases Research. Dengue: Guidelines for diagnosis, treatment, prevention and control. Geneva: World Health Organization. 2009:147.

Buettcher M, Baer G, Bonhoeffer J, Schaad UB, Heininger U. Three-year surveillance of intussusception in children in Switzerland. Pediatr. 2007;120:473-80.

Lee DH, Kim SJ, Lee HJ, Jang HJ. Identifying Predictive Factors for the Recurrence of Pediatric Intussusception. Pediatr Gastroenterol Hepatol Nutr. 2019;22:142-51.

Nylund CM, Denson LA, Noel JM. Bacterial enteritis as a risk factor for childhood intussusception: a retrospective cohort study. J Pediatr. 2010;156(5):761-5.

Clarke EJ Jr, Phillips IA, Alexander ER. Adenovirus infection in intussusception in children in Taiwan. JAMA. 1969;208(9):1671-4.

Paul A, Vibhuti A. Dengue Symptoms Significance in Anti-Dengue Drug Development: Road Less Travelled. Bioinformation. 2017;13(5):131-5.






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