Small bowel intussusception together with appendicitis in childhood: A case report

Özkisacik, Sezen; Erdem, Ali Onur; Coşkun, Özge Keniş; Yazıcı, Mesut

doi:10.1016/j.epsc.2014.11.004

Cited by 2 publications

(1 citation statement)

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“…40 Intussusception and acute appendicitis are intestinal problems and some of intussusceptions have associated appendicitis. [41][42][43] The climate factors are unlikely to directly cause intussusception or intussusception in children. But the linkage between seasonality and meteorological parameters and acute intestinal conditions appears to be plausible, which may be mediated by intestinal and non-intestinal infections (including activation of latent viral infections), mucosal inflammatory changes, lymphoid hyperplasia, or motility alterations and dietary intake changes.…”

Section: Discussionmentioning

confidence: 99%

Association of meteorological parameters with intussusception in children aged under 2 years: results from a multisite bidirectional surveillance over 7 years in India

Das

2021

BMJ Open

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ObjectivesThe study aimed to document the association between intussusception in Indian children and meteorological parameters and examine regional variations.DesignA bidirectional (retrospective and prospective) surveillance between July 2010 and September 2017.SettingAt 20 hospitals in India, retrospective case record review during July 2010 and March 2016 and prospective surveillance during April 2016 and September 2017 were performed.Participants2161 children aged 2–24 months with first intussusception episode were included.InterventionsThe monthly mean meteorological parameters (temperature, sunshine, rainfall, humidity and wind speed) for the study sites were collected.MethodsThe association between monthly intussusception cases and meteorological parameters was examined at pooled, regional and site levels using Pearson (r) and Spearman’s rank-order (ρ) correlation, factorial analysis of variance, and Poisson regression or negative binomial regression analyses.ResultsThe intussusception cases were highest in summer and lowest in autumn seasons. Pearson correlation analysis showed that temperature (r=0.056; p<0.05), wind speed (r=0.134; p<0.01) and humidity (r=0.075; p<0.01) were associated with monthly intussusception cases. Spearman’s rank-order correlation analysis found that temperature (ρ=0.049; p<0.05), wind speed (ρ=0.096; p<0.01) and sunshine (ρ=0.051; p<0.05) were associated with monthly intussusception cases. Poisson regression analysis resulted that monthly intussusception case was associated with rising temperature (North region, p<0.01 and East region, p<0.05), sunshine (North region, p<0.01), humidity (East region, p<0.01) and wind speed (East region, p<0.01). Factorial analysis of variance revealed a significant seasonal difference in intussusception cases for pooled level (p<0.05), 2–6 months age group (p<0.05) and North region (p<0.01). Significant differences in intussusception cases between summer and autumn seasons were observed for pooled (p<0.01), children aged 2–6 months (p<0.05) and 7–12 months (p<0.05).ConclusionsSignificant correlations between intussusception cases and temperature, humidity, and wind speed were observed at pooled and regional level in India. A peak in summer months was noted, which may be used for prediction, early detection and referral for appropriate management of intussusception.

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