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Atypical characteristics of a group of children with intussusception

J A Reijnen1, C Festen, H J Joosten

  • 1Department of General Surgery, University Hospital St. Radboud, The Netherlands.

Acta Paediatrica Scandinavica
|June 1, 1990
PubMed

Insights

Pediatric intussusception presents differently than classic descriptions, with older children, longer diagnostic delays, and more leading points. These factors contribute to lower hydrostatic reduction success rates in children.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Intussusception is a common surgical emergency in infants and young children.
  • Classical presentations are well-documented in medical literature.
  • Atypical presentations can challenge timely diagnosis and treatment.

Purpose of the Study:

  • To characterize a cohort of 140 children with intussusception.
  • To compare these characteristics with the classical textbook description.
  • To identify factors influencing treatment outcomes, specifically hydrostatic reduction rates.

Main Methods:

  • Retrospective review of 140 pediatric intussusception cases.
  • Analysis of patient demographics, clinical presentation, diagnostic delays, and presence of leading points.
  • Comparison of findings with established literature on intussusception.

Main Results:

  • Observed lower incidence in infants and young children compared to classical data.
  • Higher proportion of older children presenting with intussusception.
  • Significantly longer delays in diagnosis.
  • High prevalence of identifiable leading points.
  • Increased incidence of small bowel intussusceptions.
  • Lower success rate for hydrostatic reduction, attributed to the above factors.
  • Majority of patients were below the fiftieth percentile for weight.

Conclusions:

  • Pediatric intussusception in this cohort exhibited distinct characteristics from the classical presentation.
  • Older age, diagnostic delays, and leading points are key differentiating factors.
  • These atypical features necessitate a re-evaluation of diagnostic and treatment strategies for improved outcomes.

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