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Pediatric intussusception in Ibadan, South Western Nigeria

Background: Intussusception is the most common cause of acquired intestinal obstruction in children presenting commonly as a surgical emergency between the fifth and ninth months of life. Method: A retrospective review of cases seen over eight years in our hospital was done to study the pattern of p...

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Published: 2008
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/12699
042 |a dc 
720 |a Ogundoyin, O. O.  |e author 
720 |a Afolabi, A. O.  |e author 
720 |a Lawal, T. A.  |e author 
260 |c 2008 
520 |a Background: Intussusception is the most common cause of acquired intestinal obstruction in children presenting commonly as a surgical emergency between the fifth and ninth months of life. Method: A retrospective review of cases seen over eight years in our hospital was done to study the pattern of presentation and factors influencing management in our environment. Results: Thirty four patients were managed with age ranging from one week to six years. Thirty patients (88.2%) were infants. Majority were boys (58.8%) and the most common symptoms were vomiting (94.1%), passage of red currant jelly stool (91.2%), excessive crying (58.8%) and fever (52.9%). All the patients had exploratory laparotomy done with half of them undergoing simple reduction of the intussusception. There were three mortalities, two of which presented very late after two weeks of onset of illness with septicemia. There was no recurrence. Conclusion: Late presentation is a major cause of morbidity and mortality in developing countries. Early presentation, aggressive resuscitation and non- operative treatment will help in reducing the high mortality associated with late presentation. 
024 8 |a 1117-6806 
024 8 |a ui_art_ogundoyin_pediatric_2008 
024 8 |a Nigerian Journal of Surgery 14(1), pp. 13-16 
024 8 |a https://repository.ui.edu.ng/handle/123456789/12699 
653 |a Intussusception 
653 |a infants 
653 |a intestinal obstruction 
653 |a late presentation 
653 |a mortality 
245 0 0 |a Pediatric intussusception in Ibadan, South Western Nigeria