Galván-Montaño A, Chávez-Tostado KV, Suárez-Roa ML, Flores-Nava G

Language: Spanish
References: 26
Page: 10-13
PDF size: 205.90 Kb.

ABSTRACT

Introduction: The intussusception is the most frequent reason of intestinal obstruction in children. The clinical typical picture is abdominal pain, palpable mass and stools with aspect of “jelly of currant”. Objective: To show the experience with the diagnosis and treatment of intussusception in children hospitalized in a General Hospital during a period of 12 years. Materials and methods: We reviewed the charts of children with diagnosis of intussusception in a General Hospital. Results: We reviewed 31 charts, 17 men and 14 women. The clinical data were abdominal pain and vomiting in 84%, distended abdomen and bloody stools 77%, palpable mass 32%. The intussusception ileo-colica was the most frequent. The treatment was surgical in all, 21 with manual reduction, the others with intestinal resection, anastomosis primary or ileostomy. Conclusions: In a child with acute abdominal pain, vomit, evacuations with bloody stools and abdominal palpable mass the most probable diagnosis is intussusception.

REFERENCES

1. Fisher TK, Bihrmann K, Perch M, Koch A, Wohlfahrt J, Kåre M et al. Intussusception in early childhood: a cohort study of 1.7 million children. Pediatrics. 2004; 114: 782-785.

2. Huppertz HI, Soriano-Gabarró M, Grimprel E, Franco E, Mezner Z, Desselberger U et al. Intussusception among young children in Europe. Pediatr Infect Dis J. 2006; 25: S22-S29.

3. Chu KM, Chan CM, Tse KS, Wai AMW, Wong LLS, Fan TW. Intussusception in children: what emergency physicians need to know? Hong Kong J Emerg Med. 2011; 18: 449-452.

4. Parashar UD, Holman RC, Cummings KC, Staggs NW, Curns AT, Zimmerman CM et al. Trends in intussusception-associated hospitalizations and deaths among US Infants. Pediatrics. 2000; 106: 1413-1421.

5. Uddin W, Kella N, Ahmed J, Mehmood T, Shaikh NA. An audit of non-idiopathic intussusception in children. J Liaquat U Med Health Sci. 2010; 9: 134-137.

6. Tai JH, Curns AT, Parashar UD, Bresee JS, Glass RI. Rotavirus vaccination and intussusception; can we decrease temporally associated background cases of intussusception restriction vaccination schedule? Pediatrics. 2006; 118: e258-e264.

7. Patel MM, López-Collada VR, Bulhões MM, De Oliveira LH, Bautista MA, Flannery B et al. Intussusception risk and health benefits of rotavirus vaccination in Mexico and Brazil. N Engl J Med. 2011; 364: 2283-2292.

8. Seifarth FG, Ryan ML, Traina J, Knight CG. Diagnosis and laparoscopic treatment of ileoileal intussusception secondary to heterotopic pancreas in an infant: case report and review of the literature. J Pediatr Surg. 2011; 46: e33-e36.

9. Ikegami R, Watanabe Y, Tainaka T. Myoepithelial hamartoma causing small-bowel intussusception: a case report and literature review. Pediatr Surg Int. 2006; 22: 387-389.

10. Mouravas V, Koutsoumis G, Patoulias J, Kostopoulus I, Kottakidou R, Kallergis K et al. Adenomyoma of the small intestine in children, a rare cause of intussusception: a case report. Turk J Pediatr. 2003; 45: 345-347.

11. Galván-Montaño A, Suárez-Roa ML, Estrada-Hernández MR. Jejunal intussusceptions as a lead point ectopic pancreatic tissue in a 1-year-old male. Case report. Cir Cir. 2012; 80: 546-549.

12. Blakelock RT, Beasley SW. The clinical implications of nonidiopathic intussusception. Pediatr Surg Int. 1998; 14: 163-167.

13. Ein SH, Alton D, Palder SB, Shandling B, Stringer D. Intussusception in the 1990s: has 25 years made a difference? Pediatr Surg Int. 1997; 12: 374-376.

14. Bhowmick K, Kang G, Bose A, Chacko J, Boudville I, Datta SK et al. Retrospective surveillance for intussusception in children aged less than five years in South Indian tertiary-care hospital. J Health Popul Nutr. 2009; 27: 660-665.

15. Chang YJ, Huang JL, Wu CT, Yan DC, Chao HC, Kong MS. Validation of ultrasound for intussusception at pediatric emergency department. Pediatric Research. 2011; 70: 570.

16. Lim HK, Bae HS, Lee KH, Seo GS, Yoon GS. Assessment of reducibility of ileocolic intussusception in children: usefulness of color Doppler sonography. Radiology. 1994; 191: 781-785.

17. Strouse PJ, DiPietro MA, Saez F. Transient small-bowel intussusceptions in children on CT. Pediatr Radiol. 2003; 33: 316-320.

18. Navarro O, Daneman A. Intussusception. Part 3: Diagnosis and management of those with and identifiable or predisposing cause and those that reduce spontaneously. Pediatr Radiol. 2004; 34: 305-312.

19. Gorenstein A, Raucher A, Serour F, Witzling M, Katz R. Intussusception in children: reduction with repeated, delayed air enema. Radiology. 1998; 206: 721-724.

20. Tellado MG, Liras J, Méndez R, Somoza I, Sánchez A, Maté A et al. Ultrasound-guided hydrostatic reduction for the treatment of idiopathic intestinal invagination. Cir Pediatr. 2003; 16: 166- 168.

21. Thomas RJ, Rakhesh S. An air insufflations device for reduction of intussusceptions in children. J Indian Assoc Pediatr Surg. 2008; 13: 94-96.

22. Sorantin E, Lindbichler F. Management of intussusception. Eur Radiol. 2004; 14: L146-L154.

23. Calder FR, Tan S, Kitteringham L, Dykes EH. Patterns of management of intussusception outside tertiary centers. J Pediatr Surg. 2001; 36: 312-315.

24. Sherman JO, Consentino CM. Intususcepcion. In: Keith W Ashcraft, Thomas M Holder editors. Cirugía pediátrica. México. McGraw-Hill; 1995. pp. 429-433.

25. Buettcher M, Baer G, Bonhoeffer J, Schaad UB, Heininger U. Three-year surveillance of intussusception in children in Switzerland. Pediatrics. 2007; 120: 473-480.

26. Jiménez FJH. Invaginación intestinal en pediatría. Rev Mex Cir Pediatr. 2005; 12: 195-203.