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2011 | 83 | 6 | 304-309

Article title

Intussuception at Atypical Ages in Children and Adults - 11 Years Experiences


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Intussusception is a curious anatomic condition characterized by the invagination of one segment of the gastrointestinal tract into the lumen of an adjacent segment. Once initiated, additional intestinal telescopes into the distal segment, causing the invaginated intestine to propagate distally within the bowel lumen.The aim of the study was to evaluate the clinical manifestation, etiology, and outcome of intussuception at atypical ages.Material and methods. This retrospective study was carried out on patients aged <6 mo or >2 yr with intussusception. Duration of study was from March, 20, 1997 to March, 20, 2008. The places of study were Imam Khomeini and Abuzar referrals hospital. Cases were classified according to age and sex. According to age, patients were <6 mo, 2-10 years, 10-18, and more than 18 years. Age, sex, history, chief complaint, clinical manifestation, sonographic findings, duration of clinical manifestation, method of treatment, outcome, duration of hospital staying, and ICU admission were studied. Data were analyzed with SPSS ver 16 (Chicago, IL, USA) and Epi-info.Results. In this study, 36 cases with diagnosis of intussusception at atypical ages, <6 mo or >2 yr, were included. From all cases, 21 cases (58.3%) were 2 through 10 years and male: female ratio was 2.26:1. Ten cases (27.8%) had history of medical condition. Eighty percent (29 cases) had abdominal pain and 20 cases (58.3%) had vomiting. Abdominal mass was found in 14 cases (38.8%). Sonography was done for 30 (83.3%) of cases and suggesting intussuception in 25 (69.4%) of cases. Intussuception was reduced by hand and performed appendectomy for 10 cases (27.8%). Bowel resection was done for 19 cases (52.8%) and radiological reduction was done for 2 cases (5.6%). Eighteen (50%) cases had anemia. Twenty-five cases admitted to ICU. One (2.8%) patient died (a 65 year old woman). Appendicitis is the most common well defined injury associated with intussusception.Conclusion. This study showed that with advancing age, incidence of intussusception will be decreased. As age increasing, rate of bowel resection will be increased. All cases with appendectomy and reduction by hand had hospital staying 3-10 days. The results of this study was similar to other studies. The most widely used diagnostic procedure for intussusception was sonography.









Physical description


1 - 6 - 2011
25 - 7 - 2011


  • Department of Pediatric Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • Department of Pediatric Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • Arvand International Division, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • Department of Pediatric Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran


  • Bruce J, Huh Y, Cooney D et al.: Intussusception; evolution of current management. J Pediatr Gastroenterol Nutr 1987; 6: 663-64.[PubMed][Crossref]
  • Wyllie R: Ileus, adhesions, intussusceptions and closed-loop obstruction. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics, 18th ed. Philadelphia, PA: Saunders, 2007; 1568-71.
  • Lloyd D, Kenny SE: The "surgical" abdomen. In: Walker W, Goulet O, Kleinman RE, Sherman P, Shneider B, Sanderson I, eds. Pediatric Gastrointestinal Disease: Pathophysiology, Diagnosis, Management. 4th ed. Ontario, Canada: BC Decker; 2004: 604-18.
  • Stringer MD, Pablot SM, Brerteon FJ: Pediatric intussuception. Br J Surg 1992; 79: 867-76.[Crossref]
  • Huppertz HI, Soriano-Gabarró M, Grimprel E et al.: Intussusception among young children in Europe. Pediatr Infect Dis J2006; 25(1 Suppl): S22-29[Crossref]
  • Azar T, Berger DL: Adult intussceptions. Ann Surg 1997; 226: 134-38.[Crossref][PubMed]
  • Reijnen JA, Festen C, Joosten HJ et al.: Atypical characteristics of a group of children with intussusception. Acta Paediatr Scand 1990; 79: 675-79.[PubMed][Crossref]
  • Luks FI, Hazbeck S, Perreault G et al.: Changes in the presentation of intussusception. Am J Emerg Med 1992; 10: 574-76.[Crossref]
  • Carneiro PM, Kisusi DM: Intussusception in children seen at Muhimbili National Hospital, Dar es Salaam. East Afr Med J 2004; 81(9): 439-43.[PubMed]
  • Robb A, Lander A: Intussusception in infants and young children. Surgery (Oxford) 2008; 26(7): 291-93.
  • Ein SH, Daneman A: Intussusception. In: Grosfeld JL, O'Neil JA, Coran AG, Fonkalsrud EW, Editor. Pediatric surgery volume 2.6th ed. Philadelphia: Mosby; 2006; p. 1313-41.
  • Khumjui C, Doung-ngern P, Sermgew T et al.: Incidence of intussusception among children 0-5 years of age in Thailand, 2001-2006. Vaccine Nov 2009; 20; 27 Suppl 5: F116-19.
  • Ein SH, Stephens CA: Intussusception: 354 cases in 10 years. J Pediatr Surg 1971; 6(1): 16-27.
  • Wang N, Cui XY, Liu Y et al.: Adult intussusception: A retrospective review of 41 cases. World J Gastroenterol 2009; 15(26): 3303-08.[Crossref]
  • Demirkan A, Yağmurlu A, Kepenekci I et al.: Intussusception in adult and pediatric patients: two different entities. Surg Today 2009; 39(10): 861-65.[WoS][Crossref][PubMed]
  • Toso C, Erne M, Lenzlinger PM: Intussusception as a cause of bowel obstruction in adults. Swiss Med Wkly 2005; 135: 87-90.[PubMed]
  • Saleem MM, Al-Momani H, Abu Khalaf M: Intussusception: Jordan University Hospital experience. Hepatogastroenterology 2008; 55(85): 1356-59.[PubMed]
  • Ein SH, Palder SB, Alton DJ et al.: Intussusception: toward less surgery? J Pediatr Surg 1995; 30(5): 768.
  • Navarro OM, Daneman A, Chae A: Intussusception: the use of delayed, repeated reduction attempts and the management of intussusceptions due to pathologic lead points in pediatric patients. Am J Roentgenol 2004; 182(5): 1345.
  • Siaplaouras J, Moritz JD, Gortner L et al.: Small bowel intussusception in childhood. Klin Padiatr 2003; 215: 53-56.
  • Eshel G, Barr J, Heyman E et al.: Intussusception: a 9-year survey (1986 - 1995). J Pediatr Gastroenterol Nutr 1997; 24: 253-56.
  • Crystal P, Hertzanu Y, Farber B et al.: Sonographically guided hydrostatic reduction of intussusception in children. J Clin Ultrasound 2002; 30: 343-48.[Crossref]
  • Cruz Lopes MF, Afonso Reis AM, Andrade Rolo VM: (Intussusception in the Pediatric Hospital of Coimbra. 13-year results). An Esp Pediatr 1992; 37(3): 200-04 (Article in Spanish)[PubMed]
  • Kong FT, Liu WY, Tang YM et al.: Intussusception in infants younger than 3 months: a single center's experience. World J Pediatr 2010; 6(1): 55-59.[WoS][Crossref]
  • Villamizar E, Mendez M, Bonilla E et al.: Ascaris lumbricoides Infestation as a Cause of Intestinal Obstruction in Children: Experience with 87 Cases. J Pediatr Surg 1996; 31: 201-05.[Crossref]
  • Adesunkanmi ARK, Agbakwuru EA: Changing pattern of acute intestinal obstruction in Tropical African Population. East Afr Med J 1996; 73: 727-34.[PubMed]
  • Lee TH, Kim JO, Kim JJ et al.: A case of intussuscepted Meckel's diverticulum. World J Gastroenterol 2009; 15(40): 5109-11.[Crossref]
  • Ein SH, Stephens CA, Shandling BA et al. Intussusception due to lymphoma. J Pediatr Surg 1986; 21(9): 786-88.[Crossref]
  • Chang WL, Yang YH, Lin YT et al.: Gastrointestinal manifestations in Henoch-Schönlein purpura: a review of 261 patients. Acta Pediatr 2004; 93(11): 1427-31.
  • Nielsen HE: Epidemiology of Schönlein-Henoch purpura. Acta Paediatr Scand 1988; 77(1): 125-31.[Crossref][PubMed]
  • Lindenauer SM, Tank ES: Surgical aspects of Henoch-Schönlein's purpura. Surgery 1966; 59(6): 982-87.
  • Schwab J, Benya E, Lin R et al.: Contrast enema in children with Henoch-Schönlein purpura. J Pediatr Surg 2005; 40: 1221-23.[Crossref][PubMed]
  • Abramson LP, Orkin BA, Schwartz AM: Isolated colonic neurofibroma manifested by massive lower gastrointestinal bleeding and intussusception. Southern Med J 1997; 90(9): 952-54.[Crossref]
  • Catalano OA, Bencivenga A, Abbate M et al.: Internal hernia with volvulus and intussusception: case report. Abdom Imaging 2004; 29: 164-65.[Crossref]

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