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Nonischemic intussusception in childhood.

N S Shekhawat1, G Prabhakar, D D Sinha

  • 1Department of Pediatric Surgery, S.P.M. Child Health Institute of S.M.S. Medical College, Jaipur, India.

Journal of Pediatric Surgery
|November 1, 1992
PubMed
Summary
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Nonischemic intussusception presents atypically in older children with prolonged, milder symptoms like diarrhea, often delaying diagnosis. High suspicion is crucial for identifying this distinct clinical entity.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Intussusception is a common surgical emergency in infants and young children.
  • Classical symptoms include abdominal pain, bloody stools, and a palpable mass, aiding diagnosis.
  • Atypical presentations, particularly in nonischemic intussusception, can lead to diagnostic delays.

Observation:

  • Nonischemic intussusception is a distinct clinical entity.
  • It typically affects older children with a history of less severe, prolonged symptoms.
  • Diarrhea is more common in nonischemic intussusception compared to acute forms.

Findings:

  • This study reviewed 31 cases of nonischemic intussusception treated over 25 years.
  • Atypical presentations necessitate a high index of suspicion for accurate diagnosis.

Related Experiment Videos

  • Delayed diagnosis is a common challenge in nonischemic intussusception.

    • Implications:

    • Recognizing atypical symptoms is vital for timely diagnosis and management of nonischemic intussusception.
    • This variant requires specific clinical consideration in pediatric patients presenting with prolonged gastrointestinal issues.
    • Further research into the specific characteristics and management of nonischemic intussusception is warranted.