An Audit of Non-Idiopathic Intussusception in Children | [Journal of Liaquat University of Medical and Health Sciences • 2010]

Author(s):

1. Wajeeh Uddin: Sindh Govt. Children Hospital Karachi, Sindh-Pakistan.

2. Nandlal Kella: Department of Paediatric Surgery,Liaqat University of Medical and Health Sciences Jamshoro, Sindh-Pakistan

3. Javed Ahmed: Dow University of Health Sciences Karachi, Sindh-Karachi, Pakistan

4. Talat Mehmood: Dow University of Health Science Karachi, Pakistan

5. Noshad Ahmed Shaikh: LUMHS, Jamshoro, Sindh-Pakistan

Abstract:

OBJECTIVES: To outline the causes of non-idiopathic intussusception in children and to document the clinical characteristics of the different etiologies. METHODOLOGY: It is a retrospective review of 19 cases of proved secondary intussusception, over a span of 5 years i.e. from January 2004 to December 2008. Data was collected from private DV ZHO DV IURP JRYHUQPW KRVSLW DOV LQ GLIHUQW HFQWUV 3DWL V¶WQH JDH JQDUVH IPRU HUKW months to 12 years. Demographic data, clinical presentations, surgical management and follow up were recorded on pre designed proforma. Baseline blood investigations and radiological tests were noted. Surgery was performed in all patients due to delayed presentation and non availability of image intensifier. RESULTS: Among 19 patients, 13 (68.42 %) were boys and 6 (31.57%) were girls with male to female ratio of 2.16:1. The mean age was 2.15 years. Meckel's diverticulum was the most common cause and found in 8 (42.10%) children. Four (21.05%) had lymphoma, 2 (10.52%) had haemangiomas and 2 (10.52%) with polyps of the colon. Round worms, duplication of gut and Henoch-Schönlein's purpura were the other causes of non-idiopathic intussusceptions. CONCLUSION: Intussusception caused by an underlying disease or secondary to some pathological lead point is not uncommon and it is important to be vigilant for pathological lead points in children of any age.

Page(s): 134-137

DOI: DOI not available

Published: Journal: Journal of Liaquat University of Medical and Health Sciences, Volume: 9, Issue: 3, Year: 2010

Keywords:

Meckels diverticulum , Pathological lead point

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