STUDY OF PEDIATRIC INTUSSUSCEPTION IN A TERTIARY CARE HOSPITAL IN THE PAST 2 YEARS
Mohanavel Paneerselvam, Mitun Ganesan, Akash. R- General Medicine
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Intussusception is a common problem encountered in children, its various presentations and its management were seen in this retrospective study. This study included a total of 15 cases of pediatric intussusception treated at a tertiary care hospital. Among the 15 cases, 10 were classified as ileo-colic intussusception, while 2 were classified as ileo-ileal and 3 colo-colic intussusception, respectively. In these case series 9 cases underwent pneumatic reduction, 1 case underwent hydrostatic reduction, 2 cases required laparoscopy with manual reduction and 3 cases required emergency laparotomy. Pathological findings included intraluminal thick pedunculated polyp, telescoping of the bowel, fixed loop left of duodenojejunal flexure, and appendicitis.In this case series, abdominal ultrasound (USG) emerged as the primary diagnostic modality, and pneumatic reduction was the most commonly employed treatment approach. The classification of intussusception varied, with ileo-colic being the most frequent subtype. Pathological findings revealed various causes, including pedunculated polyps, telescoping of the bowel, fixed loops, and appendicitis. The absence of specific lead points in majority of the cases suggests that idiopathic or non-lead point intussusception was prevalent in this series. The identification of lead points in 3 cases highlights the importance of recognizing potential causative factors. These findings contribute to our understanding of pediatric intussusception and provide insights into the management of this condition in a tertiary care hospital setting.