Related Experiment Video
Updated: Jul 12, 2026
04:26
Postoperative Ileus Murine Model
Published on: July 12, 2024
[Invagination in children: not always ileocaecal]
I Oros-Horjus1, D C van der Zee, D Vieira-Travassos
1Universitair Medisch Centrum Utrecht, locatie Wilhelmina Kinderziekenhuis, afd. Kinderchirurgie, Utrecht.
Nederlands Tijdschrift Voor Geneeskunde
|August 30, 2007
Summary
Secondary intussusception in children requires careful evaluation for a lead point, especially in those over 3. Prompt investigation, including laparoscopy, is crucial for accurate diagnosis and treatment.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Intussusception is a common surgical emergency in infants and young children.
- Idiopathic intussusception is the most frequent type, typically resolving with hydrostatic reduction.
Observation:
- Three pediatric cases of secondary intussusception are presented, two initially misdiagnosed as idiopathic.
- Two cases involved ileo-ileal intussusception with lead points (malignant lymphoma, vasculitis), while one ileo-ileal intussusception resolved spontaneously (Meckel's diverticulum).
Findings:
- Contrast enema can be misleading, appearing successful when only partially reducing the intussusception.
- Recurrence or suspicion of a lead point necessitates further investigation, including diagnostic laparoscopy.
- Lead points were identified in intussusceptions in children over 3 years old or with underlying conditions.
Implications:
- Emphasizes the importance of identifying lead points in pediatric intussusception, particularly in older children or those with comorbidities.
- Highlights the limitations of contrast enema in diagnosing and treating complex intussusception cases.
- Advocates for a low threshold for advanced diagnostic procedures like laparoscopy to ensure definitive management.
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