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[Intussusception owing to pathologic lead points in children: report of 27 cases]

K Maazoun1, M Mekki, L Sahnoun

  • 1Service de chirurgie pédiatrique, CHU Fattouma-Bourguiba, Monastir 5000, Tunisie. kaismz@yahoo.fr

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|December 5, 2006
PubMed

Insights

Secondary intussusception in children, often caused by a pathologic lead point, requires early diagnosis and surgical intervention for improved outcomes. This study reviews 27 cases, highlighting the importance of morphologic investigation in identifying the underlying cause.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Surgical Pathology

Context:

  • Intussusception is a common surgical emergency in infants and children.
  • Secondary intussusception, caused by a pathologic lead point, presents unique diagnostic and management challenges.
  • Accurate identification of the lead point is crucial for effective treatment and preventing recurrence.

Purpose:

  • To review the clinical presentation, diagnostic imaging, and surgical management of secondary intussusception in pediatric patients.
  • To emphasize the role of morphologic investigation in detecting organic lesions causing intussusception.
  • To evaluate the outcomes of surgical intervention for secondary intussusception.

Summary:

  • This study analyzed 27 pediatric cases of secondary intussusception treated between 1986 and 2004.
  • Common lead points included Meckel's diverticulum (13 cases) and lymphoma (8 cases).
  • All patients underwent surgery after failed hydrostatic reduction, with resection and anastomosis being the primary procedure. Chemotherapy was administered for lymphoma cases, with two deaths. The remaining 25 patients had an uneventful postoperative course with a mean follow-up of 4 years.

Impact:

  • Early diagnosis and comprehensive morphologic evaluation are essential for improving the management and prognosis of secondary intussusception.
  • Surgical reduction remains the definitive treatment for this condition.
  • This review underscores the importance of identifying the lead point for successful surgical outcomes in pediatric intussusception.
Abstract

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