Erwin Siregar


INTRODUCTION: Intussusception is a condition in which part of the intestine slides into an adjacent part
of the intestine. Intussusception is an important cause of an acute abdomen and the second most
common cause of bowel obstruction in children. The classic triad of intussusception, including vomiting, abdominal colic pain,
and bloody stool. However, the triad has only been reported in <50% cases. This study is aimed to evaluate the clinical
manifestation, vital signs, and bowel viability in pediatric intussusception.
METHODS: This is an observational retrospective study with total sampling.
RESULTS: Based on clinical characteristics, there were 44.44% subjects who had manifestations for 2-3 days. Ileocolic was the
most common location (77.78%). Majority of the subjects did not have the classic triad (66.67%), had red currant jelly stool
(62.96%), did not have abdominal mass (59.26%), complained of abdominal pain (70.37%), did not have abdominal distention
(74.07%), did not vomit (55.5%), was lethargic (59.26%), and had viable bowel (62.96%).
CONCLUSION: This study found that the most common manifestations of intussusception in children were abdominal pain, red
currant jelly stool, and lethargy, with viable bowel and located at ileocolic.


Intussusception, Characteristics, Triad, Viability.

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Ahmad, M.M., Wani, M.D., Dar, H.M., Mir, I.N., Wani, H.A., Raja, A.N., 2016. An experience of ultrasound-guided hydrostatic reduction of intussusception at a tertiary care centre. S Afr J Surg, 54(1): 10-13.

Alhasani, A.A., 2016. Assessment of intraoperative manual reduction of Intussusception in children. Bas J Surg, 22: 69-76.

Bowker, B., Rascati, S., 2018. Intussusception. JAAPA, 31(1): 48-49.

Buettcher, M., Baer, G., Bonhoeffer, J., Schaad, U.B., Heininger, U., 2007. Three-year surveillance of intussusception in children in Switzerland. Pediatrics, 120: 473–80.

Caruso, A.M., Pane, A., Scanu, A. et al, 2017. Intussusception in children: not only surgical treatment. J Pediatr Neonat Individual Med, 6(1): e060135.

Chang, H.G., Smith, P.F., Ackelsberg, J., Morse, D.L., Glass, R.I., 2001. Intussusception, rotavirus diarrhea, and rotavirus vaccine use among children in New York State. Pediatrics, 108: 54–60.

Columbani, P.M., Scholz, S. Intussusception. In: Coran AG, Caldamone A, Adzick NS et al. Pediatric Surgery E-Book: Expert Consult - Online and Print, 7th ed. US: Elsevier Saunders; 2012. 1093-1110.

Dabadie, A., Petit, P. Acute Intestinal Intussusception. In: Avni FE, Petit P, eds. Imaging Acute Abdomen in Children. US: Springer International Publishing; 2018. 167-177.

Fernandes, E.G., Leshem, E., Patel, M. et al, 2016. Hospital-based surveillance of intussusception among infants. J Pediatr (Rio J), 92(2): 181-187.

Fischer, T.K., Bihrmann, K., Perch, M. et al, 2004. Intussusception in early childhood: a cohort study of 1.7 million children. Pediatrics, 114: 782–5.

Gunawan, P.Y., 2018. Pediatric Ileocolic Intussusception Caused by Introducing Solid Food Before 6 Months Old: A Case Report. Pediatr Ther, 8(1): 343.

Ito, Y., Kusakawa, I., Murata, Y. et al, 2012. Japanese guidelines for the management of intussusception in children, 2011. Pediatrics International, 54, 948–958, e35–e42.

Jiang, J., Jiang, B., Parashar, U. et al, 2013. Childhood intussusception: a literature review. PLoS One, 8(7): e68482.

Johnson, B., Gargiullo, P., Murphy, T.V., Parashar, U.D., Patel, M.M., 2012. Factors Associated With Bowel Resection Among Infants With Intussusception in the United States. Pediatric Emergency Care, 28(6): 529-532.

Kapoor, T., McGee, R.G., Karpelowsky, J., Su, M., Webster, A.C., 2007. Surgical and non-surgical management for intussusception in children. Cochrane Database of Systematic Reviews, 2: CD006476.

Kızılyıldız, B.S., Beger, B., Sönmez, B., Karaman, K., 2016. Multiple Ileo-ileal Intussusceptions in a 3-Year-Old Child. Eur J Gen Med, 13(2): 152-154.

Kusmaheidi, S., Diposarosa, R., Nugraha, H.G., 2015. Pattern of Intussusceptions on Infants and Children in Dr. Hasan Sadikin General Hospital Bandung from 2009 to 2011. AMJ, 2(3): 458–62.

Loukas, M., Pellerin, M., Kimball, Z., de la Garza-Jordan, J., Tubbs, R.S., Jordan, R., 2011. Intussusception: An Anatomical Perspective With Review of the Literature. Clinical Anatomy, 24: 552–561.

Padilla, B.E., Moses, W., 2017. Lower Gastrointestinal Bleeding & Intussusception. Surg Clin N Am, 97: 173–18.

Shiu, J.R., Chao, H.C., Chen, C.C., Chi, C.Y., 2010. Rare Concurrent Ileoileal and Ileocolic Intussusceptions in a Child Presenting with Painless Hematochezia. Pediatr NeonatoL, 51(6): 359−362.

Singh, I.K., Singh, L.C., 2015. A clinical study of intussusception in children. IOSR-JDMS, 14(12): 61-64.


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