Intussusception - A common entity but seldom diagnosed (lesson learnt from case series for family physicians)

Area of Science:

• Pediatric Surgery
• Gastroenterology

Background:

• Intussusception is a frequent cause of acute abdomen in children, characterized by bowel telescoping.
• Ileocolic intussusception is the most common subtype, requiring prompt diagnosis and management.

Observation:

• This case series details six intussusception cases: five pediatric and one adult.
• Pediatric patients were successfully treated with hydrostatic saline reduction under sedation.
• The adult case involved a benign polyp and required surgical laparotomy.

Findings:

• Hydrostatic saline reduction proved effective for pediatric intussusception, including a recurrent case.
• Surgical intervention was necessary for the adult case due to a pathological lead point.
• The study analyzes diverse presentations and management strategies for intussusception.

Implications:

• This case series supports conservative management of pediatric intussusception.
• It emphasizes the importance of recognizing intussusception for timely diagnosis and referral.
• Findings can aid primary care providers in managing pediatric abdominal emergencies.