ULTRASOUND GUIDED HYDROSTATIC REDUCTION OF INTUSSUSCEPTIONS IN CHILDREN WITH LATE PRESENTATION

• Published in: Khyber Medical University journal Vol. 11; no. 1; pp. 37 - 40
• Main Authors: Nadeem Ullah, Mohammad Irshad, Ihsan Ullah, Muhammad Imran Khan, Mohsin Hayat, Muhammad Hussain
• Format: Journal Article
• Language: English
• Published: Khyber Medical University 31-03-2019
• Subjects: Child (MeSH); Child, Preschool (MeSH); Hydrostatic reduction (Non-MeSH); Ileocecal intussusception (Non-MeSH); Infant (MeSH); Intussusception (MeSH); Ultrasonography (MeSH)
• ISSN: 2305-2643; 2305-2651
• DOI: 10.35845/kmuj.2019.18747

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 findings & 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.