Intussusception in Children - Pearls in Nonsurgical Management
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Intussusception is one of the most common abdominal emergencies affecting children less than 2 years with tailored treatment bystanding the mortality rate to less than 1%. Our study included children with intussusception with all of them undergoing colour doppler of the involved bowel and definitive management was initiated by ultrasound guided hydrostatic reduction or surgery. The predictive indicators for hydrostatic reduction and the usefulness of Doppler for successful reduction was evaluated. Of the 75 children , 42 presented within 24 hours of onset of symptoms (56%), 26 within 48 hours ( 34%) and 7 after 72 hours (10%). Ultrasound revealed pathological lead point in 8 cases pre-operatively (73%) and free fluid in 9 (90%) , with 16 (94.11%) of them ending up in surgery. Doppler sensitivity in identifying the viability of the involved bowel was 98.7% . Radiological guided reduction had 90% success in children who presented within 24 hours . Earlier presentation and good Doppler flow had a better chance of hydrostatic reduction with delayed presentations, pathological lead points and presence of free fluid invariably ending in surgery. Doppler plays a major role to prempt treatment modality and hence to be included as a part of routine workup.
Authors and Affiliations
Rengarajan R, Venkatesa Mohan N, Alex Jc, Raghul M
Keywords
Related Articles
- EP ID EP593492
- DOI 10.9790/0853-1604030105.
- Views 70
- Downloads 0
Post Partum Mystery Unravelled By Laparoscopy
Presentation of tuberculosis in the post partum period is extremely rare. Diagnosis is often difficult due to its non specific ,clinical , laboratory and radiological findings.This compounded by it’s presentation in the...
A case report of Scrub Typhus mimicking Dengue from a nonendemic region in Telangana state of South India
Scrub typhus is an acute febrile illness, with varied clinical pictures which can involve multiple organ systems and can result in significant morbidity and mortality. This zoonotic infection is caused by the obligate in...
Comparison of the Hemodynamic Effects of Intravenous Induction with Thiopentone Sodium, Protocol and Etomidate in Patients Undergoing General Anesthesia
AIM:To compare the haemodynamic effectsof thiopentone,propofol and etomidate and to study the side effects.MATERIALS AND METHODS:After taking institutional ethical committee approval and informed consent ,90 patients age...
A Comparative Study of Volar Plate Fixation versus Percutaneous Kirschner Wire Fixation in the Management of Distal Radius Fractures in Adults
Introduction: Fracture distal radius is the most common fracture treated; more than one sixth of all fractures that we treat are fracture of distal radius, that means 10% to 25% of all fractures seen at an emergency depa...
Observational Study of Maternal and Fetal Outcome in Jaundice Complicating Pregnancy In Mid And Third Trimester Of Gestation In A Tertiary Care Hospital
.