Rectal prolapse of intussusception - A single institution's experience

Priya Ramachandran, P. Vincent, S. Prabhu, S. Sridharan

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Aim: The objective was to study the clinical presentation and outcome of intussusceptions prolapsing rectally. Methods: A retrospective analysis was done of 198 children who presented with intussusception at a single institution over a 5-year period. Of this group, the data of children with intussusception prolapsing rectally was studied. Results: The incidence of prolapsing intussusception in this series was 8%. All 16 patients were infants with an average age of 5 months. The most common presenting features were rectal bleeding and abdominal mass. Only 56% of children had abdominal pain. 4/16 children had abdominal distension and 4 had dehydration. The duration of symptoms was less than 48 hours in 14/16 patients. Air enema reduction (AER) was attempted in 14/16 patients and was successful in 8 patients. The success rate of AER was 57%. One patient developed a perforation during AER. Manual reduction was done in six patients who failed AER and in two patients in whom AER was not attempted because of prolonged duration of symptoms (> 48 hrs). There were no recurrences in this series. Conclusion: The incidence of intussusceptions prolapsing rectally is high in this series. It can present in the absence of the cardinal symptoms of intussusception. A high index of clinical suspicion is necessary to make the diagnosis. AER is often successful and must be attempted in children who do not have contraindications for this procedure.

Original languageEnglish
Pages (from-to)420-422
Number of pages3
JournalEuropean Journal of Pediatric Surgery
Volume16
Issue number6
DOIs
Publication statusPublished - 01-12-2006

Fingerprint

Rectal Prolapse
Intussusception
Enema
Air
Incidence
Dehydration
Abdominal Pain
Outcome Assessment (Health Care)
Hemorrhage
Recurrence

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Ramachandran, Priya ; Vincent, P. ; Prabhu, S. ; Sridharan, S. / Rectal prolapse of intussusception - A single institution's experience. In: European Journal of Pediatric Surgery. 2006 ; Vol. 16, No. 6. pp. 420-422.
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abstract = "Aim: The objective was to study the clinical presentation and outcome of intussusceptions prolapsing rectally. Methods: A retrospective analysis was done of 198 children who presented with intussusception at a single institution over a 5-year period. Of this group, the data of children with intussusception prolapsing rectally was studied. Results: The incidence of prolapsing intussusception in this series was 8{\%}. All 16 patients were infants with an average age of 5 months. The most common presenting features were rectal bleeding and abdominal mass. Only 56{\%} of children had abdominal pain. 4/16 children had abdominal distension and 4 had dehydration. The duration of symptoms was less than 48 hours in 14/16 patients. Air enema reduction (AER) was attempted in 14/16 patients and was successful in 8 patients. The success rate of AER was 57{\%}. One patient developed a perforation during AER. Manual reduction was done in six patients who failed AER and in two patients in whom AER was not attempted because of prolonged duration of symptoms (> 48 hrs). There were no recurrences in this series. Conclusion: The incidence of intussusceptions prolapsing rectally is high in this series. It can present in the absence of the cardinal symptoms of intussusception. A high index of clinical suspicion is necessary to make the diagnosis. AER is often successful and must be attempted in children who do not have contraindications for this procedure.",
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Rectal prolapse of intussusception - A single institution's experience. / Ramachandran, Priya; Vincent, P.; Prabhu, S.; Sridharan, S.

In: European Journal of Pediatric Surgery, Vol. 16, No. 6, 01.12.2006, p. 420-422.

Research output: Contribution to journalArticle

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