Intussusception - A common entity but seldom diagnosed (lesson learnt from case series for family physicians).

Autor: Basra SS; Department of Surgery, AFMS, New Delhi, India., Grewal DS; Department of Surgery, AFMS, New Delhi, India., Hiremath RN; Department of Community Medicine, AFMS, New Delhi, India., Verma V; Department of Surgery, AFMS, New Delhi, India., Chawla V; Department of Anesthesiology, AFMS, New Delhi, India., Ghodke S; Consultant Anesthesiology, Rainbow Children Hospital, Marathahalli, Bengaluru, Karnataka, India., Chourey N; Department of Obstetrics and Gynecology, AFMS, New Delhi, India.
Jazyk: angličtina
Zdroj: Journal of family medicine and primary care [J Family Med Prim Care] 2022 Jun; Vol. 11 (6), pp. 3356-3359. Date of Electronic Publication: 2022 Jun 30.
DOI: 10.4103/jfmpc.jfmpc_1859_21
Abstrakt: Intussusception is one of the common causes of acute abdomen in paediatric age bracket with ileocolic type being the most prevalent. This happens when a proximal segment of bowel (intussusceptum) telescopes into the lumen of the adjacent distal segment (intussuscepiens). Here we report six cases of intussusception in which five were in paediatric age group and one was adult. All children were admitted, resuscitated well, USG abdomen was done to confirm the diagnosis, written and informed consent for surgery and anaesthesia, was taken from parents. However, all were managed successfully by hydrostatic saline reduction under sedation. Only one child had recurrence after one year who was again treated conservatively. Adult case was managed by means of laparotomy by excision of benign polyp being the pathological lead point. We present this case series to analyse the spectrum of presentation, diagnostic and therapeutic options available with review of literature. Since primary care providers and family physicians are first responders, this case series would help them for differential diagnosis and prompt referrals for further management.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2022 Journal of Family Medicine and Primary Care.)
Databáze: MEDLINE
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