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Year : 1999  |  Volume : 2  |  Issue : 2  |  Page : 86-88

Childhood intussusception in Ilorin, Nigeria

Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria

Correspondence Address:
G A Rahman
Department of Surgery, University of Ilorin Teaching Hospital, Ilorin
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Source of Support: None, Conflict of Interest: None

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A retrospective review of 44 cases of intussusception seen over a 10 year period in children in florin is presented. This study was undertaken to evaluate the differences and similarities in pattern, presentation, morbidity and mortality in childhood intussusception, and identify factors contributing to a persistently high mortality in this environment. Most cases (86.4 percent) occurred in infancy. The classical triad of abdominal pain, rectal bleeding and palpable abdominal mass was noted in 18 cases (40.9%). Thirty-jive (80%) presented with passage of red-currant jelly stool while 12 (28%) presented with palpable rectal mass with or without anal protrusion. More than 50% of the patients presented more than 72 hours after the onset of illness. All the patients had laparotomy and 34. 1% had bowel re5ection and anastomosis. !leo-caecal, /leo-colic and lleo-caeco-colic varieties constituted 80% of the case. 50% of our patients had one form of lead point of the other. Twenty-one (47.7%) of these patients died. The high mortality may be as a result of the age group of patients, delayed presentation, long segment of intussusception and associated septicaemia. Increased awareness of the disease, improved preoperative care and urgent definitive treatment are factors that should reduce mortality.

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