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Intususception in infancy and childhood: an analysis of 69 cases

E D Mangete1, A B Allison

  • 1Department of Surgery, University of Port Harcourt Teaching Hospital, Nigeria.

West African Journal of Medicine
|April 1, 1994
PubMed

Insights

This study on intussusception in children found a male predominance and common presentation in infants 3-9 months old. High mortality was linked to delayed treatment, highlighting the need for prompt intervention in pediatric intussusception cases.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Medicine

Background:

  • Intussusception is a common surgical emergency in infants and young children.
  • Early diagnosis and treatment are crucial to reduce morbidity and mortality.
  • This study examines intussusception cases in Port Harcourt, Nigeria.

Purpose of the Study:

  • To present a retrospective analysis of intussusception cases.
  • To identify demographic patterns, clinical presentation, and management outcomes.
  • To determine factors contributing to mortality in intussusception patients.

Main Methods:

  • Retrospective review of 69 intussusception cases treated between October 1985 and September 1992.
  • Clinical diagnosis confirmed intraoperatively.
  • All patients underwent laparotomy; barium enema reduction was not performed.

Main Results:

  • The majority of patients (72.5%) were aged 3-9 months.
  • A male preponderance was observed (male to female ratio 3.6:1).
  • The classic triad of symptoms was present in only 15.9% of cases.
  • Bowel resection was required in 35 patients (50.7%), with 77.1% having gangrenous bowel.
  • The overall mortality rate was 11.6%.

Conclusions:

  • Delayed presentation and treatment initiation significantly contribute to high mortality rates in pediatric intussusception.
  • Prompt surgical intervention is essential for favorable outcomes.
  • Intussusception remains a significant cause of surgical mortality in the studied population.

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