Review of 120 Cases of Intussusception among Infants and Young Children in Al-Qaim General Hospital
Al- Anbar Medical Journal,
2019, Volume 15, Issue 2, Pages 35-39
AbstractBackground: Intussusception is an emergency condition, mostly affecting the infants and toddler children and leads to small intestinal obstruction. Objectives: To evaluate the presentation, management outcome and the benefit of early diagnosis and treatment. Materials and methods: During the period (1986 to 2010), 120 patients with intussusception were retrospectively reviewed who they were admitted and followed up and treated in Al-Qaim General Hospital, Al-Anbar governorate, Iraq. Results: There were 80 boys and 40 girls with a ratio of 2:1, ranging in age from 2 months to 7 years, 3/4 of them were ≤ 1 year with a peak incidence in spring and early winter. Eighty percent of patients presented within the first 24 hours. On presentation, the following symptoms and signs were vomiting (80%), colicky abdominal pain (75%), abdominal mass (70%), red currant jelly stool (70%). Classical presentation only found in 25% of patients. There were 26 patients with a positive family history. All patients diagnosed clinically and confirmed operatively in those whom operations were done for them. The basic treatment is a surgical reduction in 95% of cases, 3 patients treated by Barium enema reduction and the other 3 patients treated conservatively as cases of Henoch-Schonlien purpura. Sixteen patients (14.03%) needed bowel resection, due to late presentation. The mortality rate was 4.16% due to gangrene of bowel, bowel perforation, and electrolyte imbalance. The ileocolic site was the most common in (86.84%) patients and there were 2 recurrences. Conclusion: In order to minimize morbidity and mortality from intussusception, steps must be taken to ensure earlier diagnosis and treatment.
1] C. O. Bode. Presentation and management outcome of
childhood intussusception in lagos: A prospective study.
African J. Paediatr. Surg., 5(1):24, 2008.
 R. M. Kliegman, R. E. Behrman, H. B. Jenson, and B. F.
Stanton.Nelson’s textbook of pediatrics.11thedition,
ch. 330:1569–1570, 2007.
 R. C. G. Russell, N. S. Williams, and C. J. K. Bulstrode.
Bailey & love/short practice of surgery. 24thedition, ch.
 N. M. Simon, J. Joseph, R. R. Philip, T. U. Sukumaran,
and R. Philip. Intussusception: single center experience
of 10 years.Indian Pediatr., 56(1):29–32, 2019.
 V. Avci, K. Agengin, and S. Bilici.Ultrasound guided
reduction of intussusception with saline and evaluating
the factors affecting the success of the procedure.Iran.
J. Pediatr., 28(1), 2018.
 S. T. Dawod and V. M. Osundwa.Intussusception in
children under 2 years of age in the state of qatar: anal-
ysis of 67 cases.Ann. Trop. Paediatr., 12(1):121–126,
 E. D. Mangete and A. B. Allison. Intususception in in-
fancy and childhood: an analysis of 69 cases.West Afr.
J. Med., 13(2):87–90, 1994.
 A. N. Shapkina, V. V Shapkin, I. V Nelubov, and L. T.
Pryanishena. Intussusception in children: 11-year experi-
ence in vladivostok.Pediatr. Surg. Int., 22(11):901–904,
 S. J. Crankson, A. A. Al-Rabeeah, J. D. Fischer, S. A. Al-
Jadaan, and M. A. Namshan. Idiopathic intussusception
in infancy and childhood.Saudi Med. J., 24(5):18–20,
 Y. S. Kim and J.-H. Rhu. Intussusception in infancy and
childhood. analysis of 385 cases.Int. Surg., 74(2):114–
 T. T. Kuruvilla, V. Naraynsingh, G. C. Rajin, and L. U.
Manmohansing.Intussusception in infancy and child-
hood.Trop Gogr Med., 40(4):342–346, 1988.
 V. Myllyl, M. Pivnsalo, and O. Linna.Intussusception
in infancy and childhood.Rontgenblatter., 43(3):94–98,
 K. W. West, B. Stephens, D. W. Vane, and J. L. Gros-
feld. Intussusception: current management in infants and
children.Surgery, 102(4):704–710, 1987.
 S. K. Aggarwal. Management of intussusception: Chang-
ing trends.Indian Pediatr., 56(1):21–22, 2019.
 O. Adejuyigbe, E. A. Jeje, and J. A. Owa.Childhood
intussusception in ile-ife, nigeria.Ann. Trop. Paediatr.,
 T. Oshio, H. Ogata, S. Takano, and H. Ishibashi. Famil-
ial intussusception.J. Pediatr. Surg., 42(9):1509–1514,
 B Mac Mahaun.Data on the aetiology of acute intus-
susception in childm.Ann. J. Hum. Genet., 7:430–437,
 G. G. Thomas and R. B. Zachary.Intussusception in
twins.Pediatrics., 58(5):754–756, 1976.
 F. Serour, B. Klin, K. Fried, Y. Efrati, and I. Vinograd.
Familial intussusception: report of a case with recurrence
in the youngest sibling and review of the literature.Eur.
J. Pediatr. Surg., 3(5):299–301, 1993.
- Article View: 14
- PDF Download: 7