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[Organic causes of intestinal intussusception]
Boletin Medico Del Hospital Infantil De Mexico
|March 1, 1978
Summary
Most intussusception cases are idiopathic. However, identifying an organic cause is crucial in older children or those with chronic symptoms, as 14% of reviewed cases had identifiable underlying conditions.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Intussusception is a common surgical emergency in infants and young children.
- Idiopathic intussusception accounts for the vast majority (90-95%) of cases.
- Organic causes are less common but require specific diagnosis and management.
Purpose of the Study:
- To review the incidence and types of organic causes of intussusception in a pediatric cohort.
- To identify clinical indicators suggestive of organic intussusception.
Main Methods:
- Retrospective review of 80 pediatric intussusception cases.
- Analysis of identified organic etiologies.
Main Results:
- Fourteen out of 80 cases (17.5%) had an identified organic cause.
- Identified causes included lymphomas (6), lymphoid hyperplasia (4), Meckel's diverticulum (2), enteric cyst (1), and Henoch's purpura (1).
Conclusions:
- While idiopathic intussusception is most common, organic causes should be suspected in children presenting outside the typical age range (6-8 months) or with a history of chronic intussusception.
- Prompt investigation for underlying pathology is essential in these specific patient groups.