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Original Article

J Liaquat Uni Med Health Sci. 2009; 8(1): 46-49

Childhood Intussusception: Delayed Presentation and Surgical Outcome

Nandlal Kella, Prem Kumar Rathi, Bashir Ahmed Soomro and Muhammad Ali Qureshi.

OBJECTIVE: To compare the clinical presentation and surgical outcome in early versus delayed
presentation of childhood intussusceptions.
METHOD AND MATERIAL: This comparative study was conducted in the Department of Pediatric
Surgery, Liaquat University of Medical and Health Sciences Jamshoro/Hyderabad from January
2005 to July 2007.All the diagnosed patients of intussusception were categorized into early
and delayed group (patient presented later than 24 hours from the onset of first symptom). Data
regarding age, sex, clinical presentation, duration of presentation (early or late), surgical findings,
treatment and complications were recorded on proforma. All patients of intussusceptions
were subjected to laparotomy due to non-availability of image intensifier. Parameters including
clinical presentations, surgical findings, treatment options and compliations were analyzed with
SPSS version 16.
RESULTS: This study was comprised of 80 patients; males 57(71.3%) and females 23(28.7%)
with male: female ratio 2.5:1.Early presenting patients were 10 and delayed presenting were 70.
Major clinical symptoms were pain in abdomen, vomiting and bleeding per rectum. Significant
difference found in early and delayed presenting group was in bleeding per rectum (P

Key words: Intussusception, early and delayed presentation, morbidity, difference.

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