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Related Experiment Videos

Intussusception in infancy and childhood.

V Myllylä1, M Päivänsalo, O Linna

  • 1Department of diagnostic Radiology, University of Oulu, Finland.

Rontgen-Blatter; Zeitschrift Fur Rontgen-Technik Und Medizinisch-Wissenschaftliche Photographie
|March 1, 1990
PubMed
Summary

This study on intussusception in 41 patients found common symptoms like vomiting and pain. Early diagnosis and treatment, especially before 24 hours, significantly reduced the need for surgery.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Intussusception is a common surgical emergency in infants and children.
  • Timely diagnosis and intervention are crucial for favorable outcomes.

Purpose of the Study:

  • To review the diagnostic and treatment experiences of intussusception in a cohort of 41 patients.
  • To identify key clinical features and evaluate the effectiveness of different diagnostic and therapeutic modalities.

Main Methods:

  • Retrospective review of 41 pediatric patients diagnosed with intussusception.
  • Analysis of presenting signs and symptoms, diagnostic methods (ultrasound, barium enema), and treatment outcomes (hydrostatic reduction, surgery).

Main Results:

  • Common symptoms included vomiting (83%), colicky pain (83%), rectal bleeding (66%), and abdominal mass (51%).
  • Barium enema correctly diagnosed all cases and achieved successful hydrostatic reduction in 44% (12/27) of patients.
  • Laparotomy was required for reduction in 29 patients (71%), with 84% of those presenting after 24 hours needing surgery versus 59% presenting earlier.

Conclusions:

  • Intussusception diagnosis relies on a combination of clinical signs, with barium enema being highly accurate.
  • Prompt presentation and intervention are associated with a lower likelihood of requiring surgical management.

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