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Intussusception in infancy and childhood.

T T Kuruvilla1, V Naraynsingh, G C Raju

  • 1Department of Surgery, General Hospital, Port-of-Spain, Trinidad, West Indies.

Tropical and Geographical Medicine
|October 1, 1988
PubMed
Summary

Intussusception is a leading cause of childhood intestinal obstruction in Trinidad, with a notable rise in cases. Early diagnosis and treatment are crucial to reduce high fatality and complication rates.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Public Health

Background:

  • Intussusception is the most frequent cause of intestinal obstruction in children in Trinidad.
  • A significant increase in intussusception incidence was observed in the last four years of the study period.

Purpose of the Study:

  • To review intussusception cases in Trinidad over a 12-year period.
  • To analyze incidence, demographics, misdiagnosis rates, and outcomes.
  • To highlight the need for earlier diagnosis and treatment.

Main Methods:

  • Retrospective review of 94 consecutive intussusception cases.
  • Data collected from the General Hospital, Port-of-Spain, between 1974 and 1985.

Main Results:

  • Majority of cases (87%) were in infants under one year old.
  • Predominance in Black children (62%) with a male to female ratio of 1.2:1.
  • A high misdiagnosis rate (55%) led to delayed surgical intervention, resulting in a 6.4% case fatality rate.

Conclusions:

  • Intussusception poses a significant health challenge in childhood in Trinidad.
  • High rates of misdiagnosis and delayed treatment contribute to poor outcomes.
  • Implementing strategies for earlier diagnosis and prompt surgical intervention is essential to reduce morbidity and mortality.

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