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Related Experiment Videos

Chronic intussusception in children.

J A Reijnen1, C Festen, H J Joosten

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

The British Journal of Surgery
|August 1, 1989
PubMed
Summary
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Chronic intussusception in children presents atypically, often delaying diagnosis. Early surgical intervention is crucial due to frequent underlying organic causes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Intussusception is a common surgical emergency in infants and children.
  • Delayed diagnosis of intussusception can lead to increased morbidity.

Purpose of the Study:

  • To describe the clinical presentation and management of children with prolonged intussusception.
  • To highlight diagnostic challenges and emphasize the need for early surgical intervention.

Main Methods:

  • Retrospective case series of nine children with intussusception lasting 14 days or more.
  • Review of clinical data, diagnostic methods, and treatment outcomes.

Main Results:

  • Mean age of presentation was 8.5 years.
  • Symptoms included infrequent abdominal pain, sporadic vomiting, and minimal changes in defecation, contrasting with acute intussusception.

Related Experiment Videos

  • Significant weight loss and abdominal mass were key diagnostic indicators.
  • Ultrasonography aided diagnosis.
  • Hydrostatic reduction was frequently unsuccessful.
  • A high incidence of organic lesions was observed.

    • Conclusions:

    • Chronic intussusception in children presents with subtle, atypical symptoms, leading to diagnostic delays.
    • Marked weight loss and abdominal mass are critical diagnostic clues.
    • Early surgical intervention is recommended due to the high prevalence of precipitating organic lesions.