Hu Zhangchun,Tan Yalan,Guo Wanliang,et al.Study of etiologies and therapy of secondary intussusception in children.[J].Journal of Clinical Pediatric Surgery,,17():197-201.
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Study of etiologies and therapy of secondary intussusception in children.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第17卷 Number: 2018 03 Page: 197-201 Column: 论著 Date of publication: 2018-03-28
Author(s):
Hu Zhangchun1; Tan Yalan1; Guo Wanliang1; Huang Zhijian3.
1.Department of Radiology，The First Affiliation Hospital of soochow University,Suzhou,China；
Keywords:
Intussusception/DI;  Intussusception/TH;  Child
Document code:
A
Abstract:
ObjectiveTo explore the clinical characteristics and etiologies of secondary intussusception and improve the ability of its diagnosis and therapy.MethodsWe retrospectively reviewed 40 cases.Clinical manifestations，etiologies and therapeutic modalities were reviewed.ResultsClinical manifestations included abdominal pain (n=32)，vomiting (n=29)，hematochezia (n=20) and abdominal mass (n=25).All reductions by air enema of intussusception caused by Meckels diverticulum failed while successful reduction rate by air enema of intussusception caused by intestinal duplication was around 77.8% and successful reduction rate by air enema due to other secondary factors stood at around 33.3%.Surgery was performed on 40 cases.Ileoilealcolic intussusception (n=14)，ileocecal intussusception (n=15)，small intestinal intussusception (n=5)，ileocolic intussusception (n=4)，ileoileocecal intussusception (n=1) and intestinal necrosis (n=2).The causes were Meckels diverticulum (n=23)，intestinal duplication deformity (n=11)，mesenteric lymphnoditis (n=2)，intestinal polyp (n=2) and tumor (n=2).ConclusionThe risk of secondary intussusception increases markedly in children aged over 2 years.And Meckels diverticulum remains a major cause.Intussusception lasting more than 1 day or repeated intussusception should have secondary causes examined.
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