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Related Experiment Videos

The painless intussusception

S H Ein, C A Stephens, A Minor

    Journal of Pediatric Surgery
    |August 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Painless intussusception in children leads to delayed presentation and less successful non-operative treatment. This often necessitates surgical intervention for intussusception reduction and resection.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology

    Background:

    • Intussusception is a common surgical emergency in infants and children.
    • Pain is a hallmark symptom, but painless presentations occur.

    Purpose of the Study:

    • To compare the clinical course and treatment outcomes of children with painless intussusception versus those with painful intussusception.
    • To identify factors influencing the effectiveness of non-operative management.

    Main Methods:

    • Retrospective review of 422 intussusception cases (1959-1970).
    • Analysis of patient histories, focusing on symptom duration and treatment required.
    • Comparison between children with and without recorded pain.

    Main Results:

    • Children with painless intussusception presented later than those with pain.

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  • Hydrostatic reduction was less effective in painless cases.
  • Operative reduction and resection were required more frequently in children with painless intussusception.

    • Conclusions:

    • Painless intussusception is associated with delayed diagnosis and poorer outcomes with non-operative treatment.
    • Clinical vigilance is crucial, even in the absence of pain, for timely intussusception management.