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Last updated: July 27, 2025 • View editorial policy

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Diagnóstico Diferencial

  • Diagnóstico más probable:
    • Intususcepción intestinal: La presencia de fiebre, irritabilidad, vómitos, dolor abdominal, evacuaciones disminuidas con sangre y la masa en forma de morcilla en el mesogastrio, junto con la salida de evacuación con sangre en jalea de grosella durante el tacto rectal, son hallazgos clásicos de intususcepción intestinal.
  • Otros diagnósticos probables:
    • Infección gastrointestinal: La fiebre, vómitos y diarrea con sangre pueden ser síntomas de una infección gastrointestinal, aunque la masa abdominal y la jalea de grosella son menos comunes en esta condición.
    • Volvulus intestinal: El dolor abdominal, vómitos y la posibilidad de una masa abdominal pueden sugerir un volvulus intestinal, aunque la presencia de sangre en las heces es más característica de la intususcepción.
  • No debes perder de vista (diagnósticos potencialmente mortales si se pasan por alto):
    • Apéndice agudo: Aunque es menos común en lactantes, el apéndice agudo puede presentarse con dolor abdominal, fiebre y vómitos, y es importante considerarlo para evitar una perforación.
    • Sepsis: La fiebre, irritabilidad y los síntomas gastrointestinales pueden ser indicativos de sepsis, especialmente en un lactante, y requieren una evaluación y tratamiento urgentes.
  • Diagnósticos raros:
    • Hemangioma intestinal: Aunque raro, un hemangioma intestinal puede causar sangrado gastrointestinal y dolor abdominal.
    • Diverticulitis intestinal: Es extremadamente rara en lactantes, pero puede presentarse con dolor abdominal, fiebre y sangre en las heces.

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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