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INTESTINES INVAGINATION IN 2-YEAR-OLD CHILDREN
Health Center Novi Pazar Serbia
Health Center Novi Pazar Serbia
Published: 01.12.2010.
Volume 38, Issue 2 (2010)
pp. 113-116;
Abstract
Intussusception is a specific type of delay in the bowel passage which according to frequency, clearly takes place in children's abdominal surgical pathology. Most commonly occurs in children during the first year of life and from 6 and 9 months where the 3 diagnosed in boys than girls 2. The incidence is 1-4 per 1000 live-born children. The most common form of invagination is ileocecala (80%), ileocolic, and ileo-ileal colo-colic. Intussusception is most often idiopathic (almost 90%) cases, while in a very small percentage described the existence pathoanathomic substrate (points leaders), which areusually enlarged lymph nodes or Meckel divertikulum. Surgical therapy for these other groups is much more radical. For a period of 6 years (2003-2009), which we cover the work, the children’s surgery of the Health Center Novi Pazar was treated with 22 children diagnosed with invagination (intussusception). Of this number, there were 14 (63.63%) boys, 8 girls (36.36%), and the average number of cases was 4.44 per year. Frequently appeared ileo-cecal and ileo-ileal (90.63%), while colocolic and ileocolic appeared much less (9.09%). The most common clinical symptoms were the presence of fresh blood in the stool, painful cramps and, vomiting who did the dominant clinical presentation in the majority. Following: fever, malaise, and even convulsions. The conclusion is: triad of symptoms (pain, vomiting and blood in the stool in the form "of currant jelly") were pathognomonic diagnosis. The method of choice in the diagnosis and conservative therapy is the initial hydrostatic desinvagination controlled ultrasound.
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