Intussusception in Children with a Pathological Appendix Acting as a "Lead Point" - A Series of 3 Cases

Joshi, Sanjeev B; Harish, E; Kinhal, Vidyadhar A.; Kola, Sivasai Krishnaprasad; Sundeep, V K

doi:10.7860/jcdr/2015/9325.6214

Cited by 8 publications

(12 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Appendix was the lead point for intussusception. [12][13] Paediatric patients presenting with documented colocolic intussusceptions suggest a possibility of colonic polyp or other mass lesion in Mahmudloo et al [14] In our study Juvenile colonic polyp has been reported to cause colocolic intussusceptions in 1.6% of the cases.…”

Section: Discussionsupporting

confidence: 48%

Importance of Histopathology of Intussusception and Evaluation of Cause of Intussusception in Infants and Children- A 4 Years Study

Geetha¹,

O.H²,

P³

et al. 2018

jemds

View full text Add to dashboard Cite

BACKGROUNDIn early childhood, the commonest cause of bowel obstruction is intussusception and is one of the common abdominal emergencies in children. Early diagnosis helps to reduce mortality and morbidity.The objective of the study is to assess the usefulness/ efficacy of histopathology in intussusceptions. Clinical and radiological features are useful, but histopathology is the final diagnosis which helps in identifying the aetiology of intussusception. Accurate diagnosis is essential as treatment is variable, as histopathological diagnosis of intussusceptions varies from benign to malignant lesions.

show abstract

Section: Discussionsupporting

confidence: 48%

Importance of Histopathology of Intussusception and Evaluation of Cause of Intussusception in Infants and Children- A 4 Years Study

Geetha¹,

O.H²,

P³

et al. 2018

jemds

View full text Add to dashboard Cite

show abstract

“…Even in neonates and adults, Meckel's diverticulum is a consistent cause of bowel obstruction secondary to intussusception [23,24]. Other pathologic lead point that may cause intussusception in children may include pathologic appendix, calcified fecolith, polyp, adenoma, mucocele, submucosal hematoma, carcinoid tumor, lymphoma and foreign bodies [25].…”

Section: Discussionmentioning

confidence: 99%

Intussusception in Older Children: A Single Center Experience

2022

AEPHR

View full text Add to dashboard Cite

Background: Intussusception in older children may be less common than intussusception in infants. However, it is a significant cause of bowel obstruction across all age groups. The aim of this study was to evaluate our experience with regards to older children (5 years and above) who were managed for intussusception in a single tertiary center in a developing country. Materials and Methods: This was a retrospective study of children, aged 5 year and above, who presented with intussusception (ultrasound confirmed) over a 5-year period at the pediatric surgery unit of a teaching hospital in Enugu, Nigeria. The information analyzed included the patients’ age (in years), gender, time interval between onset of symptoms and presentation to the hospital, presenting symptoms, operative procedure performed, complications of treatment and outcome of treatment. Results: A total of 378 cases of childhood intussusception were seen during the study period. Out of this number, 18 (4.8%) patients were older than 5 years of age. There was male predominance. Abdominal pain was the most common and consistent symptom in all the patients and majority of the patients had bowel resection (right hemicolectomy with ileotransverse anastomosis). One-fifth of the patient had pathologic lead point (PLP) Wound infection was the most common post-operative complication and one patient expired due to overwhelming sepsis. Conclusion: Although intussusception is more common in infants; it’s occurrence in older children is not uncommon and may be associated with PLP. Non-operative treatment is often ineffective and operative treatment is always required.

show abstract

“…Intussusception occurs when one segment of bowel and its associated mesentery enter into an adjacent segment, and it is one of the most common causes of intestinal obstruction in children under 3 years of age ( 3 4 ). Generally, the cause of intussusception is idiopathic and most cases (75–90%) in children are ileocolic or ileocecal ( 3 4 ). It is rare in children younger than 4 years of age to have a lead point as the cause of intussusception ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

“…It is important to promptly differentiate these two conditions in pediatric patients presenting suggestive symptoms. In ileocolic intussusception, the appendix tends to be part of the intussusception ( 3 ). In rare cases, however, pathologic appendix and intussusception can coexist ( 3 4 ).…”

Section: Introductionmentioning

confidence: 99%