Clinical Analysis of Organic Bowel Disease as the Leading Indicator in 10 Pediatric Patients With Intussusception

Miyagi Hisayuki, Shimotake Takashi, Sakai Kouhei, Nishimura Tohru, Higuchi Koji, Aoi Shigeyoshi, Kubota Yoshihiro, Kimura Osamu, Deguchi Eiichi, Iwai Naomi

doi:10.11164/jjsps.41.7_925

Purpose : A variety of organic bowel diseases are reported to induce intussusception as the leading indicator in the infancy and childhood. Methods : The authors retrospectively reviewed medical charts and surgical records for 106 pediatric patients who were treated for intussusception between 1978 and 2004. Of the 106 children, obvious organic bowel diseases were confirmed at surgery in 10 patients. Results : Leading indicators for intussusception were identified as Meckel's diverticulum in 5 cases, jejunoileal polyp in 2, ileal hamartoma in 1. Henoch-Schonlein syndrome in 1, and malignant lymphoma in 1, respectively. In this series of patients, small bowel polyp and hamartoma were identified at younger ages (4 months to 17 months), while Henoch-Schonlein syndrome and malignant lymphoma were diagnosed at later ages, after 4 and 5 years. Meckel's diverticulum was intraoperatively found in 5 patients between 2 months and 4 years of age, in which no massive bloody stool had been noticed. Conclusion : Patient's characteristics of pediatric intussusception including age at onset and clinical manifestations were thought to be of value for routine pediatric surgical clinics.

Clinical Analysis of Organic Bowel Disease as the Leading Indicator in 10 Pediatric Patients With Intussusception

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