Clinical characteristics of intussusception secondary to pathologic lead points in children: a single-center experience with 65 cases

Abstract

Intussusception secondary to PLPs tends to exhibit recurrence. There are various types of intussusception secondary to PLPs. It is necessary to improve auxiliary examinations to identify the etiology and avoid intraoperative omission. Surgical reduction of intussusception secondary to PLPs is the preferred clinical management.

Successful treatment of intussusception by hydrostatic reduction in pediatric patients: Is everything okay?

“…The most common symptoms include refractory emesis, intermittent abdominal cramps and pain with varying degrees of severity and bloody stools [1,8]. Intussusception usually has an idiopathic nature but in about 6% of the cases, an underlying pathological leading point is present [1,2]. In idiopathic intussusception diagnosis, ultrasonography has an almost 100% sensitivity and specificity rate [6].…”

“…The main challenge for pediatric surgeons in intussusception is the diagnosis and treatment of invaginations caused by pathological leading points [1,2,5,10]. In those patients, USG has a 75% sensitivity and specificity rate whereas CT has 50% [2]. This situation is the main reason of missing the underlying anomaly which causes invagination in the first place or additional anomalies which can be seen with invagination.…”

“…Intussusception, which is the most common cause of intestinal obstructions seen in children between 4-10 months of age, can either be idiopathic or caused by a variety of conditions such as Meckel diverticulum, intestinal duplication, benign polyps, malignant lymphoma, Peuts-Jeghers syndrome, mesenteric cysts, intestinal wall hematoma of hemophilia, allergic purpura or hamartoma [1][2][3]. In idiopathic intussusception, the first line of non-surgical treatments are the pneumatic or hydrostatic reduction when there is no intestinal necrosis or perforations are present [1].…”

“…In patients with intussusception, when the reduction treatment whether using gas or liquid enemas is unsuccessful, the patients can be taken into emergency surgery [2]. This study's main objective is to assess the patients who developed complications due to missed additional conditions with intussusception in terms of diagnosis and treatment.…”

Predisposing factors of intestinal intussusception in older children

“…Анализируя данные литературы и наши случаи, можно прийти к выводу, что развитие инвагинации на фоне органической патологии или геморрагического васкулита создает немалые проблемы при дифференциальной диагностике. А больший процент развития некроза и перфорации кишечника усугубляет состояние и усложняет лечение таких больных [20][21][22][23].…”