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Related Experiment Videos

Colonic intussusceptions in children.

M R Davies, S Cywes

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |September 23, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Primary colonic intussusceptions are common in African children, often linked to Ascaris lumbricoides infestation. Delayed diagnosis is frequent due to varied presentations and inadequate clinical assessment.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Tropical Medicine

    Background:

    • Primary colonic intussusceptions occur with high frequency in African infants and children.
    • Ascaris lumbricoides infestation is a significant contributing factor in many cases, particularly caecocolic intussusception.
    • This study reviews 37 cases to analyze the clinical presentation and diagnostic challenges.

    Observation:

    • Caecocolic intussusception (16 patients) often presents with mild intestinal upset, colic, and vomiting.
    • Colocolic intussusception (13 patients) typically involves acute abdominal symptoms, intestinal obstruction signs, and a palpable left colon mass.
    • Sigmoid intussusceptions (8 patients) in infants are frequently misdiagnosed due to overlooked anal prolapse.

    Findings:

    • Ascaris lumbricoides infestation frequently complicates caecocolic intussusception, leading to diagnostic delays.

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  • Occult blood in stools is a key indicator for colocolic intussusception.
  • Inadequate assessment of anal prolapse hinders timely diagnosis of sigmoid intussusceptions.

    • Implications:

    • Improved diagnostic strategies are needed, especially for intussusception associated with parasitic infections.
    • Enhanced clinical examination, focusing on anal prolapse, can improve early detection of sigmoid intussusception.
    • Understanding regional variations in intussusception etiology and presentation is crucial for pediatric care in Africa.