Acute intussusception: a classic clinical picture?

Details

Serval ID
serval:BIB_A5C3FD658B62
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Acute intussusception: a classic clinical picture?
Journal
Helvetica paediatrica acta
Author(s)
Fanconi S., Berger D., Rickham P.P.
ISSN
0018-022X
Publication state
Published
Issued date
1982
Volume
37
Number
4
Pages
345-52
Language
english
Notes
Publication types: Journal Article - Publication Status: ppublish
Abstract
57 patients with acute intussusception were admitted to the Children's Hospital Zurich between 1972 and 1979. All were treated surgically. One died, 7 needed a bowel resection, 9 intussusceptions were difficult and 32 easy to reduce. The retrospectively reviewed data show that the classic symptomatology, beginning suddenly in a healthy male (60%) under 3 years of age (91%) with attacks of colicky pain (81%), vomiting (93%), a palpable abdominal mass (72%) and rectal bleeding (72%), appears during the course of illness or may not be present at all. This leads to misdiagnosis, wrong treatment and worsening of the pathology. Blood per rectum, the most typical symptom, was present in the first hours of illness in only 5%, vomiting in 44% and colicky pain in 33% of the patients. A high degree of awareness is therefore necessary to diagnose intussusception during the first hours of illness, and particular stress must be laid on the accuracy of the diagnosis because reducibility and resection rate depend directly on the duration of the symptoms.
Keywords
Acute Disease, Adolescent, Age Factors, Child, Child, Preschool, Humans, Infant, Intussusception, Retrospective Studies, Seasons, Switzerland
Pubmed
Web of science
Create date
25/01/2008 10:07
Last modification date
20/08/2019 15:10
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