2,274 results match your criteria: "Pediatrics Intussusception"

In children, 90% cases of intussusception are idiopathic and the remaining 10% are attributed to underlying diseases (most commonly due to Meckel's diverticulum, polyps then either duplication cyst or mesentery cysts, and rarely due to Burkitt's lymphoma). The occurrence of acute intestinal intussusception caused by Burkitt's lymphoma in children under the age of 5 is exceedingly rare. Burkitt's lymphoma presents with diverse clinical manifestations, often leading to the identification of an abdominal tumor in pediatric patients.

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Purpose: The aim of this study is to analyze the effect of increasing enema pressure on enema outcomes.

Methods: We conducted a retrospective study to compare the effect of increasing enema pressure on enema outcomes. The primary outcome was the success rate of reduction, while secondary outcomes included intestinal perforation and recurrence rate.

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Article Synopsis
  • Intussusception, a bowel obstruction in kids, can sometimes result from serious conditions like Burkitt's lymphoma, as illustrated in a case involving a 14-year-old boy who underwent surgery for ileocolic intussusception.
  • The patient initially experienced abdominal pain, and imaging revealed a mass in the intestine leading to surgical intervention, which confirmed the presence of Burkitt's lymphoma.
  • It's important for doctors to consider underlying diseases like Burkitt's lymphoma in pediatric intussusception cases that don’t respond to standard treatments, as prompt surgical action greatly enhances survival chances.
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DIAGNOSTIC ROLE OF ULTRASONOGRAPHY FOR INTUSSUSCEPTION IN CHILDREN.

J Ayub Med Coll Abbottabad

December 2024

Department of Radiology Department, Ayub Medical College, Abbottabad-Pakistan.

Background: Intussusception is a common cause of bowel obstruction in children, and early diagnosis is crucial to prevent complications. Ultrasonography is widely used to diagnose intussusception, but its validity parameters in children have not been well-established. The objective of this study is to determine the validity parameters of ultrasonography in diagnosing intussusception in children, taking surgical findings as the gold standard.

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Intussusception is a common pediatric emergency that causes significant morbidity and mortality, particularly in low- to middle-income countries. The laparoscopic management of intussusception following failed non-invasive methods remains a topic of debate. This study aims to evaluate the long-term outcomes of minimally invasive approaches for intussusception.

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Rotavirus vaccines carry a small risk of intussusception mainly 1-7 days after vaccination in the United States of America, Europe, Australia, and Latin America where the background rate of intussusception is relatively low. Such risks are undetectable in Africa and India where the background rate is the lowest. Because few studies were carried out in high-background-rate countries such as Japan, we examined how intussusception occurred in infants living in Akita prefecture, Japan, while the vaccines were sold in the private market.

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Ileocolic intussusception is the most common cause of acute intestinal obstruction in infancy. Without rapid diagnosis and intervention, as well as collaboration among physicians from multiple disciplines, the patient's condition can deteriorate significantly, leading to ischemia and bowel necrosis. This position paper is the work of a committee of the Israel Pediatric Association, the Israel Pediatric Surgery Association, the Israel Radiological Association (Pediatric Imaging Section), and the Israel Association of Emergency Medicine (Pediatric Emergency Medicine Section) with the aim of establishing guidelines and thereby improving the treatment of children.

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Background: Recent reports have demonstrated promising results regarding the use of ketamine sedation for reducing pediatric intussusception without an associated elevated risk of bowel perforation. However, data on direct intraluminal pressure are still lacking. This study aimed to investigate sedation safety, primarily by comparing intraluminal pressure.

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Article Synopsis
  • * Imaging techniques, especially ultrasound, are essential for detecting this condition due to their effectiveness in identifying its specific features.
  • * A case study of a 9-month-old boy demonstrated colocolic intussusception with no clear cause, leading to tissue damage that required surgical removal and reconnection of the affected colon segments.
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Background: We aimed to present our experience with children with symptomatic omphalomesenteric duct (OMD) anomalies and evaluate the patients' characteristics, treatment, and outcomes.

Methods: Records of children who were operated for symptomatic OMD anomalies in Şanlıurfa Training and Research Hospital between October 2018 and November 2022 were retrospectively analysed.

Results: There were 35 patients with a median age of 31.

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Meckel's diverticulum (MD) is known to cause surgical emergencies including intussusception, obstruction, and bleeding, but rarely results in perforation with pneumoperitoneum. Symptomatic MD is rare but most commonly presents in early childhood. We report a case of a 17-year-old male who presented with peritonitis and radiographic imaging demonstrating pneumoperitoneum and inflammation near the appendix and terminal ileum.

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Paraduodenal Hernia (PDH) is an extremely rare cause of bowel obstruction. The true incidence of pediatric PDH is unknown since there are very few published cases of this phenomenon. PDH carries a high morbidity and mortality rate if unidentified.

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Mucinous cystadenoma of the caecum is an exceptionally rare occurrence, particularly in paediatric patients. They have been rarely reported in the appendix, ovary, pancreas, and liver. This is the first report of a mucinous cystadenoma of the caecum (to the best of the authors' knowledge) in a child.

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Objective: Bowel perforation is a major, yet unstudied complication of ultrasound-guided hydrostatic enema reduction (UGHR). In this study, we aimed to explore the risk factors and determine the clinical characteristics of bowel perforation during UGHR for paediatric intussusception (P-UGHR).

Methods: We retrospectively analysed the medical records of patients who underwent UGHR for intussusception at our institution between January 2011 and December 2021.

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Background: Enteric infections are hypothesized to be associated with intussusception in children. A small increase in intussusception following rotavirus vaccination has been seen in some settings. We conducted post-marketing surveillance for intussusception following rotavirus vaccine, Rotavac introduction in India and evaluated association of intussusception with enteric pathogens.

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Intestinal atresia is often considered a sequela of the intrauterine vascular accident, frequently reported as intrauterine intussusception as the primary pathophysiology. We are reporting a case of a full-term newborn diagnosed to have ileal atresia secondary to some vascular accident that occurred late in the pregnancy leading to ileocolic intussusception. This case will substantiate a different perspective of the previous understanding of the condition and allow the readers to further acknowledge how the type 3A variety of intestinal atresia allows the distal segment to telescope, causing intussusception.

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Article Synopsis
  • This study examines the effectiveness and predictors of failure in hydrostatic enema procedures for treating intussusception in children, looking specifically at the use of a water-soluble contrast medium.
  • Conducted at the Tokyo Metropolitan Children's Medical Center from March 2010 to May 2022, the research analyzed outcomes from 351 cases where initial attempts were made with the contrast medium positioned at or below 120 cm.
  • The findings revealed a 77.5% success rate for reductions at that height, while indicating that younger children (under 12 months) and those with trapped fluid were more likely to experience failed attempts.
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The mechanisms responsible for the growth and development of vascular beds in intestinal villi during postnatal ontogenesis remain enigmatic. For instance, according to the current consensus, in the sprouting type of angiogenesis, there is no blood flow in the rising capillary sprout. However, it is known that biomechanical forces resulting from blood flow play a key role in these processes.

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Enteric fever is an endemic disease in developing and low-middle income countries due to poor sanitation and hygiene. The majority of cases have mild symptoms and resolve with oral or intravenous antibiotics. However, multisystemic involvement due to enteric fever requiring intensive care is not uncommon and is associated with high mortality and morbidity.

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Background: Acute abdominal pain in pediatrics is a medical emergency that requires special attention. During COVID-19 pandemic, this disease presented in pediatric age by different presentations including abdominal presentations.The affected children are presented with abdominal pain, which may be caused by surgical causes or by the virus itself that necessitate surgical consultation.

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Frequency and severity of hyponatremia in healthy children with acute illness.

Pediatr Nephrol

October 2024

Department of Nephrology and Rheumatology, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8561, Japan.

Article Synopsis
  • Hyponatremia is a condition marked by low sodium levels and can occur during the acute phase of many illnesses, but its prevalence and severity in various medical situations is not fully understood.
  • A study at Tokyo Metropolitan Children's Medical Center reviewed 2,717 urgent pediatric admissions and found that 260 (13.8%) had hyponatremia, with type 1 diabetes being the most common associated condition (69%).
  • The research highlighted significant hyponatremia in conditions like Kawasaki disease and acute infectious encephalopathy, but noted that conditions like acute bronchial asthma or fractures rarely showed low sodium levels upon arrival.
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Developing a nomogram to predict recurrent intussusception after pneumatic reduction of primary intussusception in children.

BMC Surg

October 2024

Department of General Surgery, Tongji Medical College, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital, Huazhong University of Science & Technology, 100 Hong Kong Road, Jiangan District, Wuhan City, 430000, Hubei Province, China.

Backgroud: Intussusception is a common acute abdominal disease in children, often leading to acute ileus in infants and young children.

Objective: This study aimed to develop and validate a nomogram for predicting recurrent intussusception in children within 48 h after pneumatic reduction of primary intussusception.

Methods: Clinical data of children with acute intussusception admitted to multiple hospitals from March 2019 to March 2021 were retrospectively analyzed.

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