Intussusception: What Leads in Children Beyond Infancy?

Abstract

Nine children beyond infancy, presenting with intussusception secondary to a pathological lesions were studied. The aim of study was to determent various pathological lesions acting as lead points of intussusception. The diagnosis of intussusception was made on clinical grounds. Out of 9 children 7 (78%) were male and 2 (22%) were female. Age ranged from 2 to 12 years. All patients underwent surgical exploration. Intussusception was ileo ileal in 5 (56%), ileocolic in 3 (33%) and colocolic in in 3 (33%), and colocolic in 1 (11%) patient. Lead point for intussusception was Meckel’s diverticulum in 4 (45%), polyp in 3 (33%), duplication syst in 1(11%) and hyperplastic lymphoid nodule in 1 (11%) case. Resection and anastomosis along with the lead point was performed in 5 patients where as excision of lead point through enterosotomy was done in four cases. The authors recommend that the possibility of underlying pathology should always be considered in children with intussusception who present at the age beyond infancy. These lesions should always be removed in order to prevent recurrence.