Recently, we managed a child who presented with red currant jelly stools. The child had been treated for dysentery at other medical facilities without any imaging.
The child was later referred to UCSI Hospital for further management. Abdominal radiography and ultrasound confirmed the diagnosis of intussusception. Three attempts at ultrasound-guided saline reduction were unsuccessful because the intussusceptum was very tight and congested. The child therefore underwent urgent surgery, during which the intussusception was successfully reduced. The bowel appeared congested but viable after being wrapped in warmed packs for 10 minutes. Bowel resection and stoma formation were avoided.
Lessons learned
1. Red currant jelly stools are a late sign of intussusception and require urgent medical attention and prompt treatment.
2. Per rectal bleeding in a child should never be dismissed without further imaging or investigation. Delay in presentation can lead to gangrenous, non-viable bowel.
3. Good referral pathways are essential so that a child can be promptly referred and transferred to a centre with a paediatric surgeon.
4. Once the diagnosis is confirmed, prompt action is required. This relies on excellent teamwork among the radiologist, nursing team, OT team, and anaesthetist to avoid morbidity.
We thank Professor Dr. Yik Yee Ian, Resident Paediatric Surgeon at UCSI Hospital, and his entire team for a job well done in saving this child’s life.
Lepastu ramai enabler cakap kesian budak ni dekat rumah budak baik la apa la. Kalau budak baik takde nya terfikir nak bunuh anak orang tak kisahlah sebab apa sekalipun. Ni memang niat nak bunuh. Sorry i tak kesian langsung.
Salam 🇲🇾 Madani 💖
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KEMASKINI
4 orang disahkan terbunuh dan 28 orang disahkan cedera dalam 24 Jam terakhir keganasan Israel di Gaza
Sejak 11 Oktober 2025. 1,471 orang terbunuh dan 5,189 Cedera. 836 Jenazah ditemui
Jumlah korban ialah 74,254 orang dan 175,306 cedera sejak 7 Oktober 2023
Tragedi.
Tidak tahu sekolah ditutup akibat jerebu, tiga beradik dalam perjalanan ke sekolah maut selepas motosikal dinaiki mereka terlibat dalam kemalangan dengan sebuah lori di Jalan Parit Haji Sirat, Pontian, Johor.
Mangsa berusia 11, 8 dan 18 tahun.
Jerebu, Kabus, Tiga Beradik Tidak Sedar Sekolah Ditutup Maut Kemalangan #mgflash
Tiga beradik maut dilaporkan maut selepas motosikal dinaiki mereka bertembung dengan sebuah lori di Jalan Parit Haji Siraj, Kayu Ara Pasong, Pontian pagi ini.
#malaysiagazette#Jerebu #KemalanganMaut
A dark day for KKM. I can’t imagine the grief their families are carrying tonight. Parents losing their children, spouses losing their partners & children losing a parent.
Thank you for your service and sacrifice. May Allah grant you the highest ranks of Jannah and give your loved ones strength through this unimaginable loss.
when i was depressed in high school my cat spent all day every day in my bed & when i got the right meds and started going outside again, he did too. he lost 13lbs. he loved going outside and exercising. he just loved me more