Related Experiment Videos
Painless intussusception. Giving conservative treatment another chance
R D Hoffman1, H A Levine, S Baram
1Kibbutz Givat Brenner Clinic, Israel.
Postgraduate Medicine
|January 1, 1992
Insights
A fifth attempt using barium enema under general anesthesia successfully treated intussusception in a child. This conservative approach resolved the ileocolic intussusception, avoiding surgery.
Area of Science:
- Pediatric Gastroenterology
- Surgical Intervention
- Radiological Procedures
Background:
- Intussusception is a common pediatric surgical emergency.
- Treatment typically involves barium enema reduction or surgical intervention.
- Recurrent or difficult intussusception cases pose management challenges.
Observation:
- A case of ileocolic intussusception is presented.
- Multiple previous reduction attempts were unsuccessful.
- A fifth reduction attempt was performed using barium enema under general anesthesia.
Findings:
- The fifth barium enema reduction under general anesthesia was successful.
- The ileocolic intussusception was completely resolved.
- This conservative management avoided surgical intervention.
Implications:
- General anesthesia may enhance the success rate of barium enema for intussusception.
- Conservative management should be considered even in challenging intussusception cases.
- This approach may reduce the need for surgery in select pediatric patients.
Abstract:
Treatment options for intussusception in children range from reduction by barium enema to surgical intervention. The authors describe a case in which a conservative option--a fifth attempt to reduce an ileocolic intussusception by barium enema, this time using general anesthesia--successfully resolved the problem.