Clinical Manifestations, Vital Signs, and Bowel Viability In Pediatric Intussusception

Abstract

INTRODUCTION: Intussusception is a condition in which part of the intestine slides into an adjacent part of the intestine. Intussusception is an important cause of an acute abdomen and the second most common cause of bowel obstruction in children. The classic triad of intussusception, including vomiting, abdominal colic pain, and bloody stool. However, the triad has only been reported in <50% cases. This study is aimed to evaluate the clinical manifestation, vital signs, and bowel viability in pediatric intussusception. METHODS: This is an observational retrospective study with total sampling. RESULTS: Based on clinical characteristics, there were 44.44% subjects who had manifestations for 2-3 days. Ileocolic was the most common location (77.78%). Majority of the subjects did not have the classic triad (66.67%), had red currant jelly stool (62.96%), did not have abdominal mass (59.26%), complained of abdominal pain (70.37%), did not have abdominal distention (74.07%), did not vomit (55.5%), was lethargic (59.26%), and had viable bowel (62.96%). CONCLUSION: This study found that the most common manifestations of intussusception in children were abdominal pain, red currant jelly stool, and lethargy, with viable bowel and located at ileocolic.