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[Intussusception in children and adults]
J Bouckaert1, A Barillari, E Van Renterghem
1Algemeen Ziekenhuis Maria-Middelares, Gent.
Insights
Intussusception, a condition where one part of the intestine slides into another, requires careful radiological examination for underlying causes like Meckel's diverticulum. Air insufflation may offer a safer reduction method.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Intussusception involves intestinal telescoping, often with identifiable underlying pathologies.
- Recognizing these 'leading points' is crucial for diagnosis and treatment planning.
Abstract:
The authors describe several cases of intussusception in children and one in an adult, paying attention to the underlying pathology, also in children. This must be kept in mind at the radiological examination (so called "leading points") and at the operation. Different causes are Meckel's diverticulum, ectopic pancreatic tissue, tumours. Air insufflation (= chinese method) could be safer and in case of perforation it would be less dangerous. Surgery shall be undertaken in late diagnosis, difficult or impossible reductions by enema and signs of perforation or peritonitis.