Management of Acute Idiopthic Intestinal Invaginal in Infants at Conakry University Hospital  

作　　者：Thierno Saidou Barry Mohamed Lamine Sadou Sacko Balla Keita Mory Sangare Fanta Kourouma Moussa Conde Baldé Aissatou Bailo Seydou Keita Daniel Agbo-Panzo Thierno Saidou Barry;Mohamed Lamine Sadou Sacko;Balla Keita;Mory Sangare;Fanta Kourouma;Moussa Conde;Baldé Aissatou Bailo;Seydou Keita;Daniel Agbo-Panzo(Pediatric Surgery Department of the Conakry University Hospital, Conakry, Guinea;Gamal Abdel Nasser University of Conakry, Conakry, Guinea;Pediatrics Department, Albert Royer Childrens Hospital, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal;General Surgery Department of the Ignace Deen University Hospital, Conakry, Guinea)

机构地区：[1]Pediatric Surgery Department of the Conakry University Hospital, Conakry, Guinea [2]Gamal Abdel Nasser University of Conakry, Conakry, Guinea [3]Pediatrics Department, Albert Royer Childrens Hospital, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal [4]General Surgery Department of the Ignace Deen University Hospital, Conakry, Guinea

出　　处：《Open Journal of Pediatrics》2024年第5期937-950,共14页儿科学期刊（英文）

摘　　要：Introduction: Acute intestinal intussusception (AII) has been known for a long time but its diagnosis sometimes remains difficult and its etiologies, particularly the idiopathic forms, poorly elucidated. The objective of this study was to describe the clinical and therapeutic aspects of acute intestinal intussusception in order to contribute to the improvement of the management of this condition in the pediatric surgery department of the Donka National Hospital. Materials and Methods: This is a retrospective descriptive study of patients taken in charge of acute idiopathic intestinal intussusception over a period of 7 years (January 2017 to December 31, 2023). Results: We collected 72 patients operated on for IIA, i.e. a hospital frequency of 1.1% and an incidence of 10.3 cases per year. The mean age was 16.58 months with extremes of 3 months and 28 months. The sex ratio was 12.5 in favor of the boy. The triad of ombredanne dominated the clinical picture and paroxysmal abdominal pain with period of calm represented the main reason for consultation (72 cases) i.e. 100%, followed by vomiting (62 cases) and rectal bleeding (50 cases). Ultrasound was performed in 56 patients visualizing the intussusception sausage in 54 patients or 75%. The most common anatomoclinical variety of intussusception was the ileo-caeco-colic form with 35 cases (or 38%) followed by the ileocolic form 24 cases (33%). The surgical procedure performed was a manual reduction in 54 patients or 75% and an anastomosis resection in 18 patients;the appendectomy of principle was done in 62.25%. The postoperative course was simple in 64 patients or 88.88%. The mortality rate was 6.94 %. Conclusion: AII is a common abdominal surgical emergency in infants. Recognition of the Ombredanne triad especially abdominal pain with a period of calm in children and infants in particular is an important element for vital prognosis. Early diagnosis and close interdisciplinary cooperation between pediatric, radiology and pediatric surgery teams could improve the manaIntroduction: Acute intestinal intussusception (AII) has been known for a long time but its diagnosis sometimes remains difficult and its etiologies, particularly the idiopathic forms, poorly elucidated. The objective of this study was to describe the clinical and therapeutic aspects of acute intestinal intussusception in order to contribute to the improvement of the management of this condition in the pediatric surgery department of the Donka National Hospital. Materials and Methods: This is a retrospective descriptive study of patients taken in charge of acute idiopathic intestinal intussusception over a period of 7 years (January 2017 to December 31, 2023). Results: We collected 72 patients operated on for IIA, i.e. a hospital frequency of 1.1% and an incidence of 10.3 cases per year. The mean age was 16.58 months with extremes of 3 months and 28 months. The sex ratio was 12.5 in favor of the boy. The triad of ombredanne dominated the clinical picture and paroxysmal abdominal pain with period of calm represented the main reason for consultation (72 cases) i.e. 100%, followed by vomiting (62 cases) and rectal bleeding (50 cases). Ultrasound was performed in 56 patients visualizing the intussusception sausage in 54 patients or 75%. The most common anatomoclinical variety of intussusception was the ileo-caeco-colic form with 35 cases (or 38%) followed by the ileocolic form 24 cases (33%). The surgical procedure performed was a manual reduction in 54 patients or 75% and an anastomosis resection in 18 patients;the appendectomy of principle was done in 62.25%. The postoperative course was simple in 64 patients or 88.88%. The mortality rate was 6.94 %. Conclusion: AII is a common abdominal surgical emergency in infants. Recognition of the Ombredanne triad especially abdominal pain with a period of calm in children and infants in particular is an important element for vital prognosis. Early diagnosis and close interdisciplinary cooperation between pediatric, radiology and pediatric surgery teams could improve the mana

关 键 词：Acute Idiopathic Intussusception INFANT Intussusception Sausage Pediatric Surgery 

分 类 号：R73[医药卫生—肿瘤]