TY - JOUR ID - TI - Review of 120 Cases of Intussusception among Infants and Young Children in Al-Qaim General Hospital AU - Muneam Afatan Ayyed AU - Ammar Fouad Abdul-razzaq AU - Hamdi Noori Al-Aloosy PY - 2019 VL - 15 IS - 2 SP - 35 EP - 39 JO - Al- Anbar Medical Journal مجلة الأنبار الطبية SN - 27066207 26643154 AB - Background: Intussusception is an emergency condition, mostly affecting the infants and toddlerchildren and leads to small intestinal obstruction.Objectives: To evaluate the presentation, management outcome and the benefit of early diagnosisand treatment.Materials and methods: During the period (1986 to 2010), 120 patients with intussusceptionwere retrospectively reviewed who they were admitted and followed up and treated in Al-QaimGeneral Hospital, Al-Anbar governorate, Iraq.Results: There were 80 boys and 40 girls with a ratio of 2:1, ranging in age from 2 months to7 years, 3/4 of them were ≤ 1 year with a peak incidence in spring and early winter. Eightypercent of patients presented within the first 24 hours. On presentation, the following symptomsand signs were vomiting (80%), colicky abdominal pain (75%), abdominal mass (70%), red currantjelly stool (70%). Classical presentation only found in 25% of patients. There were 26 patientswith a positive family history. All patients diagnosed clinically and confirmed operatively in thosewhom operations were done for them. The basic treatment is a surgical reduction in 95% of cases,3 patients treated by Barium enema reduction and the other 3 patients treated conservatively ascases of Henoch-Schonlien purpura. Sixteen patients (14.03%) needed bowel resection, due to latepresentation. The mortality rate was 4.16% due to gangrene of bowel, bowel perforation, andelectrolyte imbalance. The ileocolic site was the most common in (86.84%) patients and there were2 recurrences.Conclusion: In order to minimize morbidity and mortality from intussusception, steps must betaken to ensure earlier diagnosis and treatment.

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