Intussusceptions Analysis of 57 cases of intussusceptions  at Alkarama Teaching Hospital Wassit-Al-kut

, Haider Ibraheem Khaleel; , Hussein Ali Abed Ahmad

	Intussusceptions Analysis of 57 cases of intussusceptions at Alkarama Teaching Hospital Wassit-Al-kut
Al-Qadisiah Medical Journal
Article 1, Volume 12, Issue 1, 2016, Pages 86-92 PDF (0 K)
Authors
Haider Ibraheem Khaleel; Hussein Ali Abed Ahmad
Abstract
This is a prospective study of 57 cases of intussusception who were admitted to the Alkarama Teaching Hospital inAl-kut from the 1st of October 2011 to the 1st of March 2014. Age ranging was from one month to three years and the mean age was (6 months); the commonest age group affected was those between (6-12) months , the male: female ratio was (1.7:1) , the disease was more prevalent in spring time . The cardinal symptoms were abdominal pain in 55 patients (96.5%), followed by the passage of red currant jelly stool in 50 patients (87.7%) and vomiting was present in 45 patients (78.9%). The most common sign was abdominal mass in 31 patients (54.4%) . Most of the patients 35 (61.4%) presented in the (24-48) hours from onset of symptoms. In diagnosis we depended mostly on the clinical picture of the disease supported by plain abdominal x-ray , ultrasonography as Barium enema was not feasible. Surgical management was the only option for alatients. Simple manual reduction of the bowel with appendectomy was the procedure in 44 (77.2%) of patients and in 7 patients (12.3%) resection was done due to gangrenous bowel with primary anastamosis which was not possible in one of them (1.8%) and ended with ileostomy Six patients (10.5%) had secondary intussusception and in 4 of them , Meckel`s diverticulum was the lead point and the other 2 cases the polyps were the cause and all were treated by resection and primary anastamosis. Postoperative complications were recorded in 21 patients (36.8%) and mortality rate was recorded in one patient (1.8%). (1.8%).

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