Intussusception in children 2 years of age or older.
The hospital records of 111 children aged 2 to 15 years who were treated for intussusception between mid-1974 and mid-1984 were reviewed. Severe intermittent abdominal pain was the most consistent, and frequently the only, clinical feature. Hydrostatic reduction was almost as successful as in children under 2 years of age, and its success was independent of the duration of symptoms. Most cases were idiopathic, but lead points were common in children 6 years of age or older. There was an unexpectedly high recurrence rate, 20%. In all three children with lymphoma the signs and symptoms were clearly atypical and were suggestive of pre-existing disease. In the absence of suspicious clinical or radiologic findings, laparotomy to rule out lymphoma is not warranted.
D000005:Abdomen; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007077:Ileal Diseases / Q000150:complications / Q000175:diagnosis*; D007443:Intussusception / Q000150:complications / Q000175:diagnosis*; D008223:Lymphoma / Q000150:complications; D010146:Pain / Q000209:etiology; D012007:Rectum; D012008:Recurrence; D014839:Vomiting / Q000209:etiology