Intussusception in infancy and childhood.
Experiences of the diagnosis and treatment of 41 patients with intussusception are presented. The most common signs and symptoms upon presentation were vomiting (83%), colicky pain (83%), rectal bleeding (66%) and abdominal mass (51%). All four features occurred together in only 20% of cases. Ultrasound was the primary mode of investigation in four children, giving a finding characteristic of intussusception. 27 patients were examined with barium enema, and hydrostatic reduction was tried. A barium enema gave the correct diagnosis on all cases and a successful reduction of sign and symptoms in 12 patients (44%). In the other 29 cases laparotomy was performed to achieve reduction, primarily in 14 patients and after an unsuccessful barium edema in 15.84% of the patients presenting after a delay of more than 24 hours needed surgery, compared with 59% of those presenting earlier.
Myllylä
V
V
Department of diagnostic Radiology, University of Oulu, Finland.
Päivänsalo
M
M
Linna
O
O
D000293:Adolescent; D001466:Barium Sulfate / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D004733:Enema; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000628:therapy; D007223:Infant; D007231:Infant, Newborn; D007443:Intussusception / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000628:therapy; D008297:Male; D011859:Radiography; D012189:Retrospective Studies
D001466:Barium Sulfate