Intussusception presenting with malignant hypertension and lethargy.

The most common cause of malignant hypertension in children is renal or renovascular pathology. The combination with lethargy suggests a diagnosis of hypertensive crisis with hypertensive encephalopathy. Here, we present a case of severe hypertension with lethargy as the sole presenting symptoms of ileocecal intussusception. Both normalized following surgical repositioning. We conclude that malignant hypertension and lethargy can be presenting symptoms of intussusception.

[A neonate with an inspiratory wheeze]. / Een zuigeling met een inspiratoire stridor.

An 8-month-old boy with a medical history of prematurity and intubation presented with a severe inspiratory wheeze, caused by subglottic cysts.