Intussusception in Children in Phra Nakhon Si Ayutthaya Province
Keywords:
Intussusception, Pediatric, Pneumatic reduction, Epidemiology, Intra-dialytic complicationAbstract
Intussusception is the most common cause of abdominal emergencies in children under 2 years of age. Accurate and prompt diagnosis is crucial to reduce complications and mortality. The objective of this study was to study pediatric intussusception in Phra Nakhon Si Ayutthaya Province. A retrospective descriptive study was conducted by reviewing medical records of pediatric patients aged 0–15 years diagnosed with intussusception at Sena Hospital and Phra Nakhon Si Ayutthaya Hospital between 2020 and 2024.
There were 45 pediatric patients diagnosed with intussusception. The male to female ratio was 1.6:1, aged from 3 months to 9 years and 1 month. The most common presenting symptom was abdominal pain (81.6%), followed by vomiting and bloody mucoid stools. Classic triad symptoms were observed in only 11 patients (22.4%). On physical examination, abdominal pain was noted in 19 cases (38.8%), abdominal distension in 17 cases (34.7%), and palpable abdominal mass in 8 cases (16.3%). The most common initial diagnosis was "rule out intussusception" (30.6%). Treatment methods included pneumatic reduction in 32 cases (71.1%), surgical intervention in 21 cases (46.7%), and spontaneous resolution in 2 cases (4.4%). Complications occurred in 12 cases (26.7%), and no mortality was reported.
Pediatric intussusception is an abdominal emergency. Early recognition by the first-contact physician is essential for timely and appropriate management, which can reduce the need for surgery and the risk of serious complications.
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