Childhood Intussusception in South of Jordan

Short communication


Taha Qtawneh and Hussein Bataineh

Prince Zeid Hospital (Tafila) and Prince Ali Hospital (Karak),Jordan

JMJ Vo1.7 No.1 (Spring) 2007:63-64


Objectives: To review the presentations, radiographic findings and the methods of treatment of all children with intussusception in the south of Jordan. Patients and Methods: A retrospective study from January 2003 to January 2006, in which (40) patients admitted with intussuscpetion in Karak and Tafila Military Hospitals were recorded regarding to their age, gender, mode of Presentation, radiographic findings, and the way of Intervention. Results: From the forty reviewed patients there were 32(80%) males and 8 (20%) females with age ranging from 3 months to 60 months, most of them less than one year. 12 patients (30%) presented for more than 48 hours from the onset of Symptoms. The most common complaint was vomiting (92.5%), rectal bleeding (70%) and abdominal pain (52.5%). Current jelly stool was seen in (55%) and palpable mass seen in (47.5%). Eighty per cent of the cases were ileocolic. Barium enema reduction tried in 33 patients and succeeded in 22 (55%). Thirteen patients (32.5%) were reduced by surgical intervention and 5 (12.5%) patients underwent resection. Conclusion: We conclude that late presentation and late diagnosis of intussusception is so risky and barium enema reduction is a successful way of treating early intussusception.

Keywords: Intussusception, Barium enema, late presentation.