Table 1. Demographic, clinical, diagnostic, and surgical characteristics of studied patients with intussusception, Tehran, Iran (March 2010-march 2015) .
characteristics | Percentage | |
Season of occurrence | Spring | 32.3 |
Summer | 23.6 | |
Autumn | 26.6 | |
Winter | 17.5 | |
Symptoms | Abdominal pain/Irritability | 94.2 |
Nausea and vomiting [Containing biliary vomiting (3.4%)] | 66.8 | |
Diarrhea | 38.6 | |
Fever | 38.6 | |
Bloody stool including bloody diarrhea and rectorrhagia | 26.1 | |
GI bleeding | 3.8 | |
Signs | Tenderness | 24.2 |
Abdominal distention | 19.6 | |
Abdominal mass | 14.1 | |
Currant jelly stool | 13.6 | |
Guarding | 8.9 | |
Etiology | Idiopathic | 47.8 |
Mesenteric LAP | 27.7 | |
Viral respiratory infection | 9.1 | |
Mesenteric LAP and Viral respiratory infection | 6.6 | |
Meckel's diverticulum | 2.1 | |
Other causes (e.g. tumor, history of GI surgery) | 6.7 | |
Diagnostic tool | US | 75.9 |
US and x-ray | 10 | |
US and contrast enema | 7.4 | |
Physical examination | 2.5 | |
Contrast enema | 2 | |
During surgery | 1.2 | |
US, X-ray and Contrast enema | 0.5 | |
Abdominal x-ray | 0.3 | |
X-ray and contrast enema | 0.1 | |
Treatment (722 cases) |
Contrast enema | 59.4 |
reduction surgery without resection | 30.3 | |
reduction surgery with resection | 3 | |
Pneumatic enema | 0.4 | |
Spontaneously | 6.8 | |
Location of the intussusception (198 cases based on surgery report) | Ileocolic | 87.87 |
Ileoileal | 6.06 | |
Colocolic | 3.02 | |
Jejunojejunal | 3.02 |
US= Ultrasonography;LAP=lymphadenopathy