Summary
Intussusception is the commonest cause of acute intestinal obstruction in infancy and childhood. Sixty-one cases of intussusception were analysed. The clinical presentation of our patients is somewhat different when compared to the experience of other workers. There is a 9-fold male predominance. Passage of blood in the stools was the commonest presentation. In 46% of the cases there was a history of preceeding diarrhoea. Only in 43% of the cases an abdominal mass could be felt. 62% of the children needed resection of the gut because of either irreducibility or gangrene of the bowel. We had an overal mortality of 26%. The morbidity and mortality was very high in patients who had resection as compared to the patients who had reduction only.
Similar content being viewed by others
References
Bajarnason, G. and Petterson, G. (1968) The treatment of intussusception. Thirty years experience at Gothenburg’s children hospital.J. Paediat. Surg. 3, 19.
Charles, C.C., Ronald A. (1976) Intussusception secondary to aberrant pancreas in a child.J.A.M.A. 236, 1047.
David, W., John, A.B., David, H., William Ogden II (1971). Intussusception in adults—Review of 160 cases.Am. J. Surg. 121, 531.
Elebute E.A., Adesola, A.O. (1964). Intussusception in Western Nigeria.Br. J. Surg. 51, 440.
Gross, R.E. (1953) The surgery of infancy and childhood.W.B. Saunders Company, Philadelphia.
Hipsley, P.L. (1953) Intussusception.Med. J. Australia. 1, 456.
Jangierup, M., Jorulf, H., Livaditis, A. (1972) Management of intussusception in infants and children.Pediatrics.50, 535.
Koushal, V. (1972). Role of barium enema acute intussusception.Indian Pediatr. 9, 152.
Ling, J.T. (1954) Intussusception in infant and children; its emphasis on recognition of cases with complications.Radiology.62, 504.
Moore, T.C. (1952). Management of intussusception in infants and children. Report of 43 cases.Ann. Surg. 133, 184.
Naylor, H.G. (1970) Hydrostatic perforation of intussusception.Br. J. Surg. 57, 79.
Nordentoft, J.M., Hansen, H. (1955) Treatment of intussusception in children.Surgery.38, 311
Paul, F.F. (1956) Intussusception, Surgical treatment.Surg. Clin. North. Amer. 36, 1501.
Ravitch, M.M. (1954) Reduction of intussusception by barium enema.Surg. Gynaec. Obet. 99, 431
Ravitch, M.M. (1969) Intussusception in ‘Pediatric Surgery’. 2nd edition—Year Book Medical Publishers—Chicago, p. 914.
Santuli, T.V., Ferrer, J.M. (1956) Intussusception and appraisal of present treatment.Ann. Surg. 143, 8.
Singleton, E.B. (1963) Hydrostatic reduction of intussusception.Pediat. Clin. North. Amer. 10, 175.
Snyder, W.H. Jr, Kraus, A.R., Chaffin, L. (1954) Intussusception in infants and children—Report of 143 consecutive cases.Ann. Surg. 130, 200.
Solanke, T.F. (1968) Intestinal obstruction in Ibadon.West. Afr. Med. J. 17, 191.
Subedar, Singh, Dhall, J.C., Surinder Singh, Khatri, H.L., Sedhon, G.S. (1976). An analysis of 42 cases of intussusception.Indian J. Pediatr. 43, 265.
Thurston, D.L., Holoach, J., Mc. Coy, E.E. (1955) Acute intussusception.Arch. Surg. 67, 68.
Takuji, Todani, Katsusuke, Tabuchi, Sanae, Tanaka, (1975). Intestinal atresia due to intrauterine intusussception.J. Pediatr. Surg. 10, 445.
Udwadia, T.F., Desa, A.A. (1962) Acute intussusception in infancy and childhood.Indian J. Surg. 24, 333.
Wayne, E.R., Cambell, J.B., Kosloske, A.M., Barrington, J.D. (1976) Intussusception in the olden child.J. Pediatr. Surg. 11, 789.
Author information
Authors and Affiliations
Additional information
From the Department of Paediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh.
Rights and permissions
About this article
Cite this article
Rao, P.L.N.G., Prsaad, C.N., Mitra, S.K. et al. Intussusception in infancy and childhood. Indian J Pediatr 46, 126–130 (1979). https://doi.org/10.1007/BF02896746
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02896746