Document Type : Original articles
Authors
1 Department of Surgery, Al-Yarmook Teaching Hospital, Baghdad, Iraq
2 Department of Pediatrics, Al-Ramadi Maternity and Children Teaching Hospital, Ramadi, Anbar, Iraq
Abstract
Background: 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%) for 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.
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