Related Experiment Videos

[Intussusception in children: about 20 cases]

I Fall1, G Ngom, A A Sankale Diouf

  • 1Travail de l'unité de chirurgie pédiatrique de la clinique chirurgicale, Hôpital A. Le Dantec.

Dakar Medical
|March 22, 2005
PubMed

Insights

Late diagnosis of intussusception in Senegalese children, often due to lack of awareness and traditional treatments, leads to complications like intestinal necrosis and a 10% mortality rate.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Context:

  • Retrospective study of 20 pediatric intussusception cases in Senegal.
  • Highlights challenges in early diagnosis and management within the local healthcare context.
  • Emphasizes the role of clinical diagnosis, supported by imaging when necessary.

Purpose:

  • To analyze the clinical presentation, diagnostic challenges, and outcomes of intussusception in Senegalese children.
  • To identify factors contributing to delayed diagnosis and management.
  • To propose recommendations for improving patient prognosis.

Summary:

  • Intussusception diagnosis in Senegal is primarily clinical; however, delayed presentation is common due to lack of awareness and reliance on traditional healers.
  • Plane abdominal X-rays, barium studies, and echography are crucial for diagnosis in complex cases.
  • Delayed management resulted in significant intestinal necrosis and a 10% mortality rate in the studied cohort.

Impact:

  • Findings underscore the need for increased awareness and prompt medical consultation for intussusception in children.
  • Recommendations aim to reduce morbidity and mortality associated with this condition in similar healthcare settings.
  • Improved diagnostic and management strategies can significantly ameliorate the prognosis of pediatric intussusception.

Related Concept Videos

Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Pyloric Obstruction01:11

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...