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Intussusception in the older child- suspect lymphosarcoma.

E R Wayne, J B Campbell, A M Kosloske

Journal of Pediatric Surgery

|October 1, 1976

Summary

Intussusception in children can stem from Meckel's diverticulum or ileal lymphosarcoma. Older children with specific symptoms and radiographic findings should be suspected of having ileal lymphosarcoma.

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Area of Science:

Pediatric Surgery
Gastroenterology
Oncology

Background:

Intussusception is a common surgical emergency in infants and children.
Identifying the underlying cause is crucial for appropriate management.

Observation:

A review of 378 children with intussusception identified 29 cases with an identifiable intestinal lesion.
Meckel's diverticulum was the cause in 21 children, all under 2 years old.
Ileal lymphosarcoma caused intussusception in six children, aged 6.5 to 9 years.

Findings:

Children over 6 years with intussusception, abdominal pain, bloody stools, a palpable mass, and radiographic evidence should be suspected of having ileal lymphosarcoma.
Extensive small bowel reflux during hydrostatic reduction is necessary to rule out small intestinal lesions.

Implications:

Suspicion of malignancy necessitates surgical planning and potential wide excision of the lesion and regional lymph nodes.
Early diagnosis and surgical intervention are critical for favorable outcomes in pediatric intussusception due to malignancy.

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