1National Institute of Forensic Medicine (IPFN), Hospital Kuala Lumpur, Malaysia
2Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Faculty of Medicine, Universiti Teknologi MARA Sungai Buloh, Selangor, Malaysia.
3 of Department and Forensic Pathologist, National Institute of Forensic Medicine (IPFN), Hospital Kuala Lumpur, Malaysia
4National Institute of Forensic Medicine (IPFN), Hospital Kuala Lumpur, Malaysia
5Institute of Pathology, Laboratory and Forensic Medicine (I-PerForM), Faculty of Medicine, Universiti Teknologi MARA Sungai Buloh, Selangor, Malaysia.
*Corresponding Author: Dr. Mansharan Kaur Chainchel Singh, Associate Professor,: Institute for Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA, Sungai Buloh, Jalan Hospital, 47000Selangor, Malaysia. Contact: +603-6126 7466, Email: mansharan@uitm.edu.my, mansharan70@gmail.com
Introduction: Intussusception, the invagination or telescoping of a proximal segment of bowel into an adjacent distal segment of bowel is the second commonest cause of abdominal emergency in children after appendicitis. It is important to note that intussusception though a relatively benign condition, can cause unexpected death due to misdiagnosis or delayed referral resulting in intestinal perforation.
Case Report: We report a case of a two-month old baby boy who presented to a general practioner with fever for two days, one episode of bilious vomiting and being less active for one day. He was examined and discharged with symptomatic treatment, however was found dead at 5am the next day.
Conclusion: This case highlights the importance of identifying the level of intussusception, bowel ischaemia and evidence of local or systemic diseases if possible, during autopsy to confirm the diagnosis.
Fatal, Intussusception, Systematic Approach, Autopsy
