Muhammad Jehangir Khan, Kifayat Khan, Musa Kaleem, Muhammad Younas Khan, Muhammad Ayub Khan, Syed Asad Maroof, Muhammad Tariq Khan, Muhammad Uzair, Muhammad Ghani.
Retrospective analysis of clinical presentation of children with diagnosed intussusception.
J Postgrad Med Inst Jan ;21(2):151-3.

Objective: To know the presenting clinical features of intussusception in children up-to the age of twelve years. Material and Methods: The study was conducted at the Department of Paediatric Surgery, Post-Graduate Medical Institute, Lady Reading Hospital, Peshawar, over a period of 18 months. A total of 71 patients with diagnosed intussusception were included. The relevant data, both pre-operative and postoperative, of children who were operated for intestinal obstruction and finally turned out to be suffering from intussusception, was fed into a pre-designed proforma and the information so obtained was analyzed according to objectives of the study. Results: The common presenting features were colicky abdominal pain in 70 (98.59%) cases, vomiting in 67 (94.36%) cases, abdominal distension in 67 (94.36%) cases, constipation in 63 (88.73%) cases, bleeding per rectum in 61 (85.91%) cases, palpable mass per abdomen in 56 (78.87%) cases and fever in 18 (25.35%) cases. In 11 (15.49%) cases there was a mass palpable per digital rectal examination and 05 (07.04%) patients had diarrhoea on presentation. Conclusions: Colicky abdominal pain, vomiting, abdominal distention, constipation, bleeding per rectum, palpable mass per abdomen are the commonest presenting clinical features of intussusception in children.

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