Advertisement

Indian Journal of Surgery

, Volume 81, Issue 4, pp 379–382 | Cite as

Intussusceptions in Children

  • Bindey KumarEmail author
  • Manish Kumar
  • Amit Kumar Sinha
  • Utpal Anand
  • Anil Kumar
Review Article
  • 17 Downloads

Abstract

Intussusception is a common abdominal emergency in children less than 3 years of age. Myriad and nonspecific presentation of this clinical entity makes diagnosis challenging. High degree of clinical suspicion in suggestive settings along with astute imaging facilitates prompt identification and management. Nonsurgical reduction is the preferred modality; however, surgery is indicated in the presence of perforation or shock. This article reviews presentation, diagnostic, and therapeutic options for intussusceptions.

Keywords

Intussusception Intussusceptum Intussuscepiens Perforation 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Committee Approval

Not Required.

References

  1. 1.
    Waseem M, Rosenberg H (2008) Intussusception. Pediatr Emerg Care 24:793–800CrossRefGoogle Scholar
  2. 2.
    Fischer TK, Bihrmann K, Perch M, Koch A, Wohlfahrt J, Kåre M et al (2004) Intussusception in early childhood: a cohort study of 1.7 million children. Pediatrics 114(3):782–785CrossRefGoogle Scholar
  3. 3.
    Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B (2012) Intussusception: clinical presentations and imaging characteristics. Pediatr Emerg Care 28:842–844CrossRefGoogle Scholar
  4. 4.
    Bines JE, Ivanoff B (2002) Acute intussusception in infants and children: a global perspective. A report prepared for the Steering Committee on Diarrhoeal Disease Vaccines, Vaccine Development,Vaccines and Biologicals, World Health Organization, Geneva, Switzerland. Vaccines and biologicals; Vol. WHO V & B:02.19Google Scholar
  5. 5.
    Jenke AC, Klaaen-Mielke R, Zilbauer M, Heininger U, Trampisch H, Wirth S (2011) Intussusception: incidence and treatment — insights from the nationwide German surveillance. J Pediatr Gastroenterol Nutr 52:446–451CrossRefGoogle Scholar
  6. 6.
    Sorantin E, Lindbichler F (2004) Management of intussusception. Eur Radiol 14(Suppl 4):L146–L154Google Scholar
  7. 7.
    Lochhead A, Jamjoom R, Ratnapalan S (2013 Nov) Intussusception in children presenting to the emergency department. Clin Pediatr (Phila) 52(11):1029–1033CrossRefGoogle Scholar
  8. 8.
    Priya K, Guy ED (2017) Risk of intussusception following rotavirus vaccination: an evidence based met-analysis of cohort and case-control studies. Vaccine 33:4276–4284Google Scholar
  9. 9.
    Sato M, Ishida H, Konno K, Komatsuda T, Naganuma H, Watanabe S, Kotanagi H, Ishida J (2000) Long-standing painless intussusception in adults. Eur Radiol 10:811–813CrossRefGoogle Scholar
  10. 10.
    Sargent MA, Babyn P, Alton DJ (1994) Plain abdominal radiography in suspected intussusception: a reassessment. Pediatr Radiol 24:17–20CrossRefGoogle Scholar
  11. 11.
    Del-Pozo G, Albillos JC, Tejedor D, Calero R, Rasero M, de la CU, Lopez-Pacheco U (1999) Intussusception in children: current concepts in diagnosis and enema reduction. Radiographics 19:299–319CrossRefGoogle Scholar
  12. 12.
    Verschelden P, Filitrault D, Garel L, Grignon A, Perreault G, Boisvert J, Dubois J (1992) Intussusception in children: reliability of US in diagnosis—a prospective study. Radiology 184:741–744CrossRefGoogle Scholar
  13. 13.
    Lioubashevsky N, Hiller N, Rozovsky K, Segev L, Simanovsky N (2013) Ileocolic versus small bowel intussusception in children: can US enable reliable differentiation? Radiology 269:266–271CrossRefGoogle Scholar
  14. 14.
    Fishman MC, Borden S, Cooper A (1984) The dissection sign of nonreducible ileocolic intussusception. AJR 143:5–8CrossRefGoogle Scholar
  15. 15.
    Gluckman S, Karpelowsky J, Webster AC, McGee RG (2017) Management for intussusception in children. Cochrane Database Syst Rev (6) Art. No.: CD006476Google Scholar
  16. 16.
    Kenigsberg K, Lee JC, Stein H (1974) Recurrent acute intussusception. Pediatrics 53:269–270Google Scholar
  17. 17.
    Fraser JD, Aguayo P, Ho B et al (2009) Laparoscopic management of intussusception in pediatric patients. J Laparoendosc Adv Surg Tech A 19:563CrossRefGoogle Scholar
  18. 18.
    Wei CH, Fu YW, Wang NL (2015) Laparoscopy versus open reduction in radiologically irreducible or recurrent idiopathic intussusception. Surg Endosc 29:668.  https://doi.org/10.1007/S00464-014-3717-1 CrossRefGoogle Scholar
  19. 19.
    Apelt N, Featherstone N, Gialiani S (2013) Laparoscopic treatment of intussusceptionin children: a systematic review. J Pediatr Surg 48:1789–1793CrossRefGoogle Scholar
  20. 20.
    Hill SJ, Koontzcs, Langness SM, Wulkan ML (2013) Laparoscopic versus open reduction of intussusception in children: experience over a decade. J Laparoendosc Adv Surg Tech A 23:166–169CrossRefGoogle Scholar
  21. 21.
    Iwase H, Motani H, Yajima D, Hayakawa M, Kobayashi K, Sato K et al (2010) Two infant deaths linked to intussusception without peritonitis. Jpn Soc Legal Med 12(3):151–153CrossRefGoogle Scholar

Copyright information

© Association of Surgeons of India 2019

Authors and Affiliations

  1. 1.Paediatric SurgeryAIIMS PatnaPatnaIndia
  2. 2.Paediatric MedicineAIIMS RishikeshRishikeshIndia
  3. 3.Gastro-Intestinal SurgeryAIIMS PatnaPatnaIndia
  4. 4.General SurgeryAIIMS PatnaPatnaIndia

Personalised recommendations