DOI: http://dx.doi.org/10.18203/2349-2902.isj20205873

Clinical profile of patients with intussusception in a tertiary care institution in South India

Diljith San, Ranjit P., Arun M. Ainippully

Abstract


Background: Intussusception is a common abdominal emergency in children. It is the most common cause of intestinal obstruction in children less than 2 years. Awareness about the clinical presentation vomiting, abdominal pain, blood in stools, abdominal mass helps in early diagnosis. This study describes the demographics and clinical profile of patients with intussusception in a tertiary care institute in South India.

Methods: This was a prospective case series study conducted in the pediatric surgery department in a tertiary care hospital in South India. Children upto 12 years with clinically and radiologically confirmed intussusception were enrolled over 12 months study period. Demographic and clinical data was collected and recorded.

Results: Eighty two children with clinical and radiological picture suggestive of intussusception were studied. 57 patients (75%) were below 1 year of age. Male:female ratio was 1.7:1. The classical triad of abdominal colic, palpable abdominal mass and rectal bleeding was seen in 39 patients (50%). Most common signs were rectal bleed and abdominal mass.

Conclusions: Awareness about the clinical presentation of intussusception helps in early diagnosis and prompt treatment of this common pediatric emergency and helps to prevent mortality.


Keywords


Clinical profile, Intussusception

Full Text:

PDF

References


Bines JE, Ivanoff B, Justice F, Mulholland K. Clinical case definition for the diagnosis of acute intussusception. J Pediatr Gastroenterol Nutr. 2004;39(5):511-8.

Kleigman R, Behrman R, Jenson H, Stanton BF. Intussusception. In: Nelson text Book of Pediatrics. 20th edn. Philadelphia WB: Saunders; 2016: 1812-1813.

Lehnert T, Sorge I, Till H. Intussusception in children- clinical presentation diagnosis and management. Int J Colorect Dis. 2009;24(10):1187-92.

Mensah Y, Etwire V. Ultrasound guided hydrostatic reduction of intussusception in children at Korle Bu Teaching Hospital: An Initial Experience. Ghana Med J. 2011;45(3):128-31.

Bahl R, Saxena M, Bhandari M, Taneja S. Population-based Incidence of Intussusception and a case-control study to examine the association of intussusception with natural rotavirus infection among Indian children. J Infect Dis. 2009;200:S277-81.

Trotta F, Da Cas R, Bella A, Santuccio C, Salmaso S. Intussusception hospitalizations incidence in the pediatric population in Italy: a nationwide cross-sectional study. Italian J Pediatr. 2016;42:89.

John M, Siji CR. A clinical study of children with intussusception. Int J Contemp Pediatr. 2016;3(3):1083-8.

Liu N, Yen C, Huang T, Cui P, Tate JE. Incidence and epidemiology of intussusception among children under 2 years of age in Chenzhou and Kaifeng, China, 2009-2013. Vaccine. 2018;36(51):7862-7.

Fernandes EG, Leshem E, Flannery B, Patel M, Pellini A. Hospital-based surveillance of intussusception among infants. J Pediatr. 2016;92(2):181-7.

Guo WL, Hu ZC, Tan YL, Sheng M, Wang J. Risk factors for recurrent intussusception in children: a retrospective cohort study. BMJ open. 2017 Nov 1;7(11):e018604.

Gupta M, Kanojia R, Singha R, Tripaty J, Mahajan K. Intussusception rate among under-five-children before introduction of rotavirus vaccine in North India. J Trop Pediatr. 2018;64:326-35.