WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dr. Oday Ahmad Khalaf*, Dr. Rafi Akram Younis Al Saati, Dr. Mohammad Ali Mohammad

ABSTRACT

Background: Intussusception is a life-threatening disorder characterized by strangulating bowel obstruction that can lead to gangrene and perforation. While the majority of patients arrive with the traditional triad of vomiting, abdominal pain, and rectal bleeding, a small percentage may report rectal mass prolapse, or other symptoms of underlying conditions. Objectives: To assess the clinical manifestation of children with intussusception in Mosul City. Patients and methods: This is a prospective study was performed on 36 patients were diagnosed as intussusceptions, who were admitted to Al Salam Teaching Hospital during the period from the first of January 2023 to the end of June 2024, all patients were randomly chosen. The questionnaire includes four parts, part one for sociodemographic information of the study participants. Part two for clinical manifestation of the study participants. Part three for x-ray and ultrasound findings. Part four for the received treatment. Results: The study includes 36 subjects with intussusception. The majority of them aged between 6-12 months (61.1%), male gender (63.9%), urban residence (66.7%), breast feeding (72.2%), and the onset of symptom with 12-24 hours. Statistically significant difference between the study subgroups regarding age, gender, residence, mode of feeding and onset of symptoms (P value <0.001). 32 patients (88.88%) were presented with screaming attack while 27 patients (75%) were presented with bloody stool, 24 patients (66.66%) were presented with vomiting, 23 patients (63.88%) were presented with fever, 19 patients (52.77%) had sausage shape mass on examination, 18 patients (50%) had abdominal distension, 17 patients (47.22%) presented with lethargy, 16 patients (44.44%) had diarrhea, 3 patients (8.33%) were had shock and 1 patient (2.7%) had prolapsed through anus. 24 (66.7%) patients had intussusception associated with gastroenteritis and 12 (33.3%) patients had intussusception associated with upper respiratory tract infection. X-ray of abdomen shows 16 patients (44.44%) had air fluid level, 9 patients (25%) had gaseous distention, 11 patients (30.56%) were inconclusive. While ultrasound shows mass in 29 patients (80.6%), and inconclusive in 7 patients (19.4%). Surgical reduction was done for 27 patients (75%), while surgical resection was done for 8 patients (22.2%), and hydrostatic reduction for only 1 patient (2.8%). The commonest type of intussusception found in the study was ileocolic among 31 patients (86.1%). No pathological lead point was founded in 27 patients (75%), while Michele's diverticulum was the commonest pathological lead points 6 patients (16.7%). Conclusions: Intussusception is more common in boys than in girls. Acute abdominal pain (screaming attack) and bloody stool, were the commonest presenting symptoms and the characteristic sausage shape mass is not always palpable. keeping intussusceptions in mind is very important fot every pediatrician because early diagnosis and prompt treatment improve the outcome and decrease mortality.