Document Detail


Intussusception in infants younger than 3 months: a single center's experience.
MedLine Citation:
PMID:  20143212     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The diagnosis and treatment of intussusception is often confusing in infants aged younger than 3 months. This study aimed to discuss the particularity of diagnosis and treatment of intussusception in this age group.
METHODS: From April 1983 to June 2008, 39 infants aged 3 months or younger who had been diagnosed with intussusception were treated and their clinical data were analyzed retrospectively.
RESULTS: Of the 39 infants (29 boys and 10 girls), ages ranged from 12 hours to 3 months, with a mean age of 52.6 days. The duration from onset to admission ranged from 7 to 142 hours (mean 39.6 hours). Three infants had intrauterine intussusception and 36 postnatal intussusception. The 3 infants with intrauterine intussusception had typical presentations of complete ileus after birth. Gap type ileal atresia was found in surgery in 2 of the 3 infants and primary anatomosis was performed therapeutically. The other infant was found to have ileal separation and a patent proximal end with diffused meconium peritonitis. The patient died 2 days after primary anastomosis. Most infants with postnatal intussusception had two or more manifestations of the tetralogy, namely intermittent screaming, vomiting, bloody stool, and abdominal mass. In 23 infants who underwent pneumatic reduction, 17 had a successful reduction and 6 converted to open surgery. Surgery was indicated for 19 infants, with maneuver procedure in 14. Meckel's diverticulum was noted as a leading cause in 2 infants, ileal duplication in 1 with necrosis of intussusceptum, and primary intussusception with lead point necrosis in 2. The 5 infants, on whom segmental resection was performed, underwent primary anastomosis. All infants with postnatal intussusception had a smooth recovery.
CONCLUSIONS: Infants aged 3 months or younger may suffer from intussusception and most of them present with typical symptoms. Early diagnosis and treatment are needed for a good prognosis. Intrauterine intussusception may be an etiological factor for ileal atresia.
Authors:
Fei-Teng Kong; Wen-Ying Liu; Yun-Man Tang; Lin Zhong; Xue-Jun Wang; Gang Yang; Hou-Ping Chen
Publication Detail:
Type:  Journal Article     Date:  2010-02-09
Journal Detail:
Title:  World journal of pediatrics : WJP     Volume:  6     ISSN:  1867-0687     ISO Abbreviation:  World J Pediatr     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-09     Completed Date:  2010-07-15     Revised Date:  2011-06-30    
Medline Journal Info:
Nlm Unique ID:  101278599     Medline TA:  World J Pediatr     Country:  China    
Other Details:
Languages:  eng     Pagination:  55-9     Citation Subset:  IM    
Affiliation:
Department of Pediatric Surgery, West China Hospital of Sichuan University, Chengdu, 610041, China.
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MeSH Terms
Descriptor/Qualifier:
Female
Fetal Diseases / diagnosis,  therapy
Humans
Ileal Diseases / diagnosis*,  therapy*
Ileum / abnormalities
Infant
Infant, Newborn
Insufflation / methods
Intestinal Atresia / diagnosis
Intussusception / diagnosis*,  therapy*
Male
Meckel Diverticulum / complications,  diagnosis
Retrospective Studies
Comments/Corrections
Comment In:
World J Pediatr. 2011 May;7(2):186; author reply 187   [PMID:  21574039 ]

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