title: Intussusception in infants--storm from a clear sky.
abstract: Intussusception is one of the most common causes of acute abdominal conditions requiring surgical therapy in infants and babies. Due to the breakthroughs of pediatric intensive care and imaging methods, which may sometimes replace therapeutic methods, this condition, which used to be associated with high morbidity and mortality rates, is now more easily detected and treated immediately, even by non-surgical means. Nevertheless, there still is a high percent of cases in whom the diagnosis is set relatively late and who require laborious surgical procedures and extensive intestinal resections. These cases have high morbidity rates, the condition sometimes has a negative course and the patients die. We conducted an analytical retrospective study on a group of 49 patients diagnosed with intussusceptions, hospitalized and treated in the Pediatric Surgery Ward of the Children's Hospital of Iaşi City during 5 years. Although the demographics and clinical presentation of our patients is largely in agreement with literature data, we note that 69.4% of the patients came to the hospital 24 hours after the onset of their symptoms, which delayed diagnosis setting, ruled out non-surgical therapy and thus led to a high rate of postoperative complications (24.5%) and also to a high mortality rate (6.6%).
authors.forename: Elena
authors.initials: E
authors.lastname: Tarcă
authors.forename: B
authors.initials: B
authors.lastname: Savu
authors.forename: Irina
authors.initials: I
authors.lastname: Crişcov
authors.forename: Claudia Mihaela
authors.initials: CM
authors.lastname: Toma
authors.forename: S G
authors.initials: SG
authors.lastname: Aprodu
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery*; D007080:Ileocecal Valve; D015994:Incidence; D007223:Infant; D007443:Intussusception / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery*; D008297:Male; D019365:Metaphor; D012189:Retrospective Studies; D012383:Romania / Q000453:epidemiology; D012424:Rural Population / Q000706:statistics & numerical data*; D015996:Survival Rate; D016896:Treatment Outcome; D014505:Urban Population / Q000706:statistics & numerical data*