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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Intussusception owing to pathologic lead points in children: Report of 27 cases
Archives de Pediatrie, Volume 14, No. 1, Year 2007
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Description
Objective: Intussusception owing to pathologic lead points is a challenging condition for pediatric surgeons. The aim of this study was to review the particularities of clinical presentation, the place of morphologic investigation in depicting the presence of an organic lesion and the management of secondary intussusception. Patients and methods: The authors report a series of 27 patients treated from 1986 to 2004, for secondary intussusception. Results: Nineteen boys and 8 girls, aged from 45 days to 11 years (mean age: 40 months) presented with secondary intussusception: Meckel's diverticulum (13 cases); lymphoma (8 cases); intestinal duplication (3 cases); heterotopic pancreas (2 cases); intestinal polyp (1 case). All patients were operated upon after failure of hydrostatic reduction. An intestinal resection with an end to end anastomosis was done for 26 patients. The biopsy of a large abdominal mass after an easy reduction of the intussusception was performed in 1 case. Chemotherapy was started at the sixth postoperative day for the 8 children having lymphoma. Two of them died during therapy. For the 25 others, the postoperative course was uneventful with a mean follow-up of 4 years. Commentary: The improvement of the management and the prognosis of secondary intussusception requires an early diagnosis. Morphologic examination must not be limited to the diagnostic of intussusception but must aim at searching a lead point. The reduction of this particular form is based exclusively on surgery. © 2006 Elsevier Masson SAS. All rights reserved.
Authors & Co-Authors
Maazoun, K.
Tunisia, Monastir
Chu Fattouma-bourguiba
Mekki, Monghi
Tunisia, Monastir
Chu Fattouma-bourguiba
Sahnoun, Lassâad
Tunisia, Monastir
Chu Fattouma-bourguiba
Hafsa, S.
Tunisia, Monastir
Chu Fattouma-bourguiba
Ben Brahim, Mohamed
Tunisia, Monastir
Chu Fattouma-bourguiba
Belghith, Mohsen
Tunisia, Monastir
Chu Fattouma-bourguiba
Zakhama, Abdelfattah
Tunisia, Monastir
Chu Fattouma-bourguiba
Jouini, Riadh
Tunisia, Monastir
Chu Fattouma-bourguiba
Golli, Mondher M.
Tunisia, Monastir
Chu Fattouma-bourguiba
Krichéne, Imed
Tunisia, Monastir
Chu Fattouma-bourguiba
Nouri, Abdelallatif
Tunisia, Monastir
Chu Fattouma-bourguiba
Statistics
Citations: 11
Authors: 11
Affiliations: 1
Identifiers
Doi:
10.1016/j.arcped.2006.09.027
ISSN:
0929693X
Research Areas
Cancer
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Participants Gender
Male
Female