Research Article
Volume 9 Issue 6 - 2022
Painless Intussusception in Children: Is it a Recognized Clinical Entity?
Chukwubuike Kevin Emeka*, Ilo Anthony Chukwudi and Anijunsi Livinus Patrick
Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria
*Corresponding Author: Chukwubuike Kevin Emeka, Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria.
Received: May 08, 2022; Published: May 23, 2022




Abstract

Background: Abdominal pain has been described as the first and pivotal symptom of childhood intussusception. However, some infants can present with intussusception without abdominal pain at presentation. The purpose of this study was to analyze our practice with children who were managed for intussusception but had no features of abdominal pain at presentation.

Materials and Methods: This was a retrospective analysis of children aged 1 year and younger who were managed for intussusception over a 5-year period at the pediatric surgery unit of a teaching hospital in Enugu, Nigeria. The information analyzed included the age of the patients, sex, clinical features, symptoms duration prior to presentation, intra-operative finding, definitive operative procedure performed, complications following surgery, duration of hospital stay and treatment outcome.

Results: A sum of 378 cases of pediatric intussusception was evaluated during the study period. Out of this number, 8 (2.1%) patients did not manifest any features of abdominal pain and form the basis of this report. More male were affected. The mean age of the patients at presentation was 3 months with a range of 2 to 6 months. Vomiting was the most common symptom and ileocolic intussusception was seen in 100 percent of the patients. All the patients had laparotomy since non-operative treatment was ineffective in the treatment of the patients. Wound infection was the most common complication following surgery and about one-tenth of the patients expired due to overwhelming sepsis.

Conclusion: Painless intussusception may be infrequent in children. However, it occurs in infants especially in younger infants. Presentation may be atypical and non-operative treatment may not be effective in the treatment of painless intussusception.

Keywords: Abdominal Pain; Infants; Intussusception; Painless; Laparotomy

References

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Citation: Chukwubuike Kevin Emeka., et al. “Painless Intussusception in Children: Is it a Recognized Clinical Entity?”. EC Gastroenterology and Digestive System 9.6 (2022): 06-10.

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