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KMID : 0390320150250010051
Chungbuk Medical Journal
2015 Volume.25 No. 1 p.51 ~ p.58
Clinical Presentations of Pediatric Intussusception in Chungbuk Province
Gyon Yun-Hee

Yun Yeong-Ju
Lee Ji-Hyuk
Abstract
Purpose: This study evaluated the clinical presentations of pediatric intussusception in Chungbuk province and provided the information to assist in early diagnosis and treatment.

Materials and Methods: Pediatric patients (below 18 years old) with intussusception diagnosed by ultrasound or computed tomography (CT) between January 2013 and December 2013 were retrospectively investigated.

Results: A total of 87 patients (Male 49, 56.3%) were diagnosed as intussusception. The mean age was 25.4 month olds and patients younger than 24 months were 54 (62.1%) and 36 months were 71 (81.6%). Associated symptoms were cyclic abdominal pain (82, 94.3%), vomiting (43, 49.4%), bloody stools (16, 18.4%), and palpable abdominal mass (13, 14.9%). Patients with infectious illness at diagnosis of intussusception were 53 (60.9%). The locations of intussusception were ileo-cecal type (78, 89.7%), ileo-ileal type (6, 6.9%), and both type at the same time (3, 3.4%). Except 6 patients with ileo-ileal type, 81 patients underwent air-reduction and 77 (95.1%) recovered completely. Nine patients underwent surgery due to failure of air reduction or recurrent intussusception and all recovered completely. Patients with ileo-ileal type were spontaneously recovered without intervention.

Conclusion: Early diagnosis of pediatric intussusception is very important for successful treatment outcomes. This study may provide information about the clinical presentations of pediatric intussusception in Chungbuk province.
KEYWORD
Intussusception, Child, Clinical presentation, Chungbuk Province
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