Related Experiment Videos
Intussusception: is floating caecum a causative factor? Analysis of 10 cases
1Department of Surgery, College of Health Sciences, University of Port Harcourt, Nigeria.
East African Medical Journal
|November 1, 1990
Summary
This study analyzed ten intussusception cases, finding common causes like mobile cecum and Meckel's diverticulum. Surgical fixation of the cecum effectively prevented recurrence in pediatric patients.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Abdominal Surgery
Background:
- Intussusception is a common surgical emergency in infants and children.
- Etiologies vary, including anatomical abnormalities and acquired conditions.
- Understanding lead points and predisposing factors is crucial for effective management.
Purpose of the Study:
- To analyze consecutive intussusception cases treated at a tertiary hospital.
- To identify common etiologies and demographic patterns.
- To evaluate surgical outcomes and recurrence prevention strategies.
Main Methods:
- Retrospective analysis of ten consecutive intussusception cases.
- Review of patient demographics, clinical presentation, and surgical findings.
- Surgical interventions included intraoperative reduction, resection, anastomosis, and cecopexy.
Main Results:
- Median age of occurrence was nine months, with a male to female ratio of 2:3.
- Identified lead points included Meckel's diverticulum, lipoma, and lymph node hypertrophy.
- A mobile cecum with a long mesocaecum was implicated in six cases, managed with cecopexy to prevent recurrence.
Conclusions:
- Intussusception affects a wide age range, with specific lead points identified.
- Surgical management should address the underlying cause, including anatomical variations.
- Cecopexy is an effective method for preventing recurrent intussusception due to cecal mobility.