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Intussusception in children: Comparison between ultrasound diagnosis and operation findings in a tropical developing
Usang E Usang1, Grace B Inah, Akan W Inyang
1Department of Surgery, Paediatric Surgery Unit, Calabar, Nigeria. usangue@yahoo.co.uk
Insights
Ultrasound (US) diagnosis of intussusception in children is effective in tropical regions. This study found US positively diagnosed intussusception in 80% of pediatric cases, aiding clinical decisions.
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
- Gastroenterology
Background:
- Intussusception is a frequent cause of intestinal obstruction in children.
- Classic signs and symptoms are not universally present, complicating diagnosis.
- This study evaluates ultrasound (US) diagnosis and surgical findings in children with intussusception in a tropical developing economy.
Purpose of the Study:
- To assess the diagnostic accuracy of ultrasound (US) in pediatric intussusception.
- To correlate US findings with operative findings in children.
- To report experience from a tertiary health facility in a tropical developing country.
Main Methods:
- Retrospective review of pediatric intussusception cases over 8 years (January 2004 - December 2011).
- Inclusion of children admitted with intussusception to a tertiary health facility.
- Analysis of ultrasound (US) diagnostic results and operative findings.
Main Results:
- 25 out of 41 children with intussusception were studied (M:F ratio 2.2:1).
- Median age was 6.0 ± 5.57 months (range 3 months - 7 years).
- Ultrasound (US) positively diagnosed intussusception in 20 cases (80% accuracy).
Conclusions:
- Ultrasound (US) demonstrates significant utility in diagnosing pediatric intussusception.
- US can enhance diagnostic confidence for clinicians managing intussusception.
- Findings support the use of US in resource-limited tropical settings.
Background:
Intussusception is one of the more common causes of intestinal obstruction in children. The diagnosis may be based mainly on clinical features; however, there are no classic signs and symptoms that are common to all cases. This study reports our experience at US diagnosis and operation findings of children with intussusceptions in a tropical developing economy.
Materials And Methods:
This was an 8 years retrospective review of intussusceptions in children in a tertiary health facility in a tropical developing country from January 2004 to December 2011.
Results:
Twenty-five out of 41 children (M:F = 2.2:1) admitted with intussusceptions within the period were studied. The median age was 6.0 ± 5.57 months (range 3 months- 7 years). US positively diagnosed intussusceptions in 20 (80%) cases.
Conclusion:
US can increase diagnostic confidence in intussusceptions.
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