Abstract
OBJECTIVE: To evaluate the successful management of intussusception
through ultrasound guided hydrostatic reduction with respect to duration of
symptoms in children up to 6 years of age.
METHODS: Retrospective analysis was done for 68 paediatric patients in the
age range from 2.5 months to 6 years at Radiology & Paediatrics departments,
Medical Teaching Institution Lady Reading Hospital, Peshawar. Children
primarily diagnosed as intussusception, based on ultrasound ndings & managed
conservatively with ultrasound guided hydrostatic reduction from January 2014
to December 2017 were included in the study. Their management was analyzed
with respect to duration of symptoms. Children who were primarily managed
surgically were excluded from study.
RESULTS: A total of 68 patients in the age range from 2.5 months to 6 years
were included in the study. Male to female ratio was 3.25/1 with 52 males (≤1
year=45 & >1year=7) and 16 females (≤1 year=11 & >1 year=5).
Abdominal pain was reported in all (100%) cases, followed by bleeding per
rectum in 35.2% and abdominal mass in 13.2% cases. Classic triad of abdominal
pain, abdominal mass and bleeding per rectum was reported only in 8.8% of
cases. Overall rate of success of hydrostatic reduction was 89.70% (n=61/68).
Success rate in cases presented ≤48 hours was 97.56% and in cases presented
>48 hours was 77.77% (p<0.05).
CONCLUSION: Hydrostatic reduction for intussusception in paediatric
patients under ultrasound guidance has a good outcome. Success rate for
patients presenting presented ≤48 hours was better than patients presenting
presented ≥48 hours.
Nadim Ullah, Mohammad Irshad, Ihsan Ullah, Muhammad Imran Khan, Mohsin Hayat, Muhammad Hussain. (2019) ULTRASOUND GUIDED HYDROSTATIC REDUCTION OF INTUSSUSCEPTION IN CHILDREN WITH LATE PRESENTATION, KHYBER MEDICAL UNIVERSITY JOURNAL, Volume 11, Issue 1.
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