INTUSSUSCEPTION IN INFANTS AND CHILDREN-AN ANALYSIS OF 130 CASES IN ABBOTTABAD AND HAZARA DIVISION
AbstractBackground: Intussusception is the commonest cause of intestinal obstruction in children. We reviewed 130 casesover a period of 10 years at DHQ hospital. Abbottabad to assess their mode of presentation, methods of investigation,management and outcome. Methods: A retrospective review was performed of the case notes of presentation,investigation, management and subsequent outcome. Results: Although majority of patients presented with theclassical triad of abdominal pain 88%, vomiting 82% and rectal bleeding 54%. There were some who varied in theirmode of presentation. A presumptive initial diagnosis of infective diarrhoea or colitis and referral for a medical ratherthan surgical opinion was made in 86(69%) cases. Hydrostatic reduction was done in 79% of cases, 29 beingsuccessful. Laparotomy was done in 101 cases. In 6 patients (6%) spontaneous reduction occurred between bariumenema reduction and subsequent laparotomy. Simple manual reduction after laparotomy was done in 45 cases.Resection of the gangrenous intestine was done in 13 patients. In the rest of 37 patients, various operations like righthemicolectomy and appendectomy were done. Conclusion: The male to female ratio in our series was almost equal.No variation in the relationship between incidence and season or type of feeding was found. Ileocolic intussusceptionwas found to be the commonest type at the laparotomy in our series.
Raffen Sperger, JG, Baker JR. Postoperative intestinal
obstruction in children. Arch. Surgery. 1987; 94: 450-
Man CV. Intussusception in “Baileys’ and Loves Short
practice of surgery”. Man, Russel, William (eds).
Chapman and Hall, Medical, London, 1995; 22: 818-
Nicolas JC, Ingrand D, Fotier BA., A one year
virological survey of acute intussusception in children.
J Med. Virol, 1982; 9:267-71.
Yip CH, Change KW, Hasan TM. Intussusception an
analysis of the factors affecting the outcome. Asian J.
Surg 1991; 15(1): 8.14.
Raudviki PJ, Smith LM. Intussusception: analysis of 98
cases. Br. J. Surg... 1981; 68: 645-48.
Klapperr PE. Adenovirus cross infection: A continuing
problem. J. Hosp. Infect. 1995; 30(Suppl); 262-65.
Kim YS, Rhu JH. Intussusception in infancy and
childhood. Analysis of 385 cases. Int. Surg. 1989; 40:
Courtney SP, Ibrahim N, Long staff AJ, Davidson CM.
Intussusception in the adult clinical, radiological and
histological features. Postgrad. Med. J. 1992: 68:449-
Centre for Disease Control: Intussusception among
recipient of rota virus Vaccine-United States MMWR,
; 48: 577-81