Caecocolic intussusception in Ibadan

Cole, G. J.

doi:10.1002/bjs.1800530508

Cited by 17 publications

(9 citation statements)

References 18 publications

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“…These data are similar to those in previous reports on cecal-colic intussusception [10,14]. Cole, however, found a slight female predominance and a younger age at presentation [13]. It is possible that there is no difference in the ratio of men to women but, rather, a reluctance or inability of women to find access to health care in these societies and, more specifically, Rwanda.…”

Section: Discussionsupporting

confidence: 91%

“…The patient demographics that we observed were similar in many respects to those in previous studies of patients in East-Central Africa [10,[12][13][14]. Most of our patients presented early during their fourth decade, and there was a male predominance.…”

Section: Discussionsupporting

confidence: 83%

“…A palpable abdominal mass was the most consistent finding on physical examination (80%). Rasaretnam et al found a palpable mass in 90% of their patients [14], and Cole found a mass in 66% of his patients [13]. The most commonly reported symptoms in our studies and others were colicky-type pain and obstipation [10,[12][13][14].…”

Section: Discussionsupporting

confidence: 56%

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Cecal‐Colic Adult Intussusception as a Cause of Intestinal Obstruction in Central Africa

VanderKolk

Snyder²,

Figg

1996

World j. surg.

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During a 5-year experience in Central Africa, the most common cause of 78 adult intestinal obstructions was primary adult cecal-colic intussusception (n = 43; 55%). The symptom complex of colicky abdominal pain and obstipation was present in 100% of the patients with intussusception. Operative repair in 90% of patients consisted of simple reduction of the intussusceptum. There were no known recurrences. The etiology of adult cecal-colic intussusception is unknown. Patients typically present with a 3- to 4-day history of abdominal pain, obstipation, and usually a palpable mass. Treatment is surgical reduction. Right colectomy is reserved for intestinal gangrene. We treated 43 cases during a 5-year period with only one death.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 83%

See 1 more Smart Citation

Cecal‐Colic Adult Intussusception as a Cause of Intestinal Obstruction in Central Africa

VanderKolk

Snyder²,

Figg

1996

World j. surg.

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“…We did not find the cecocolic type of intussusception reported by others. [12][13][14] The pattern in Kuwait resembles that in series reported from the West. The colocolic intussusceptions in our 19 patients with leading points numbered four, but we found only two idiopathic colocolic cases in our whole series of 244 intussusceptions.…”

Section: Discussionsupporting

confidence: 57%

Precipitating Pathology in Childhood Intussusception: A Report of 19 Cases From Kuwait and Review of the Literature

1989

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, 244 episodes of intussusception in 233 patients were treated in Ibn Sina Hospital, Kuwait. Nineteen patients (7.9%) had a definite pathologic lesion (a "leading point"). Nine of these 19 patients (47.3%) were over 2 years old as compared to only 16 of 244 (6.6%) in the whole series. No particular leading point occurred more frequently than any other. Fifteen of these leading points were in the small gut and only four in the large gut. Preoperative therapeutic barium enema was attempted and failed in six cases. All 19 patients were operated on. There were 11 ileocolic, four ileoileal, and four colocolic intussusceptions. The postoperative complications were high, and likewise the length of hospitalization. No recurrent intussusception had a leading point. Literature. 1989; 9(2): 175-177 The cause of intussusception is unknown; however, sometimes intussusceptions are precipitated by a definite pathologic lesion, i.e., a leading point. MA Issa, AH Easa, EH Mahfouz, Precipitating Pathology in Childhood Intussusception: A Report of 19 Cases From Kuwait and Review of the1-3 These leading points are discovered as filling defects during barium enema reduction of the intussusception or during surgery. 4 Leading points have been reported to occur in about 50% of recurrent intussusceptions in children above 2 years of age and only 25% of recurrent intussusceptions in children below 1 year of age. 5 In acute cases of intussusception, the incidence of leading points is between 10% and 15%. 3,[5][6][7] In this study we review, analyze, and discuss 19 acute intussusceptions caused by leading points. Patients and ResultsThe hospital records of all children proved between January 1977 and December 1986 by barium enema or by operation to have intussusception were analyzed, and only those proved to have definite pathologic lesions (leading points) are reported in this study. There were 233 patients with 244 episodes of intussusception; of these, only 19 cases (7.9%) were due to leading points (Table 1). There were 11 males and eight females, eight Kuwaitis and 11 non-Kuwaitis, and nine (47.4%) were 2 years old and above as compared to 16 (6.6%) over 2 years old in the whole series of 244. Seven children (36.8%) with leading points presented after 2 symptomatic days, as compared to 46 (18.8%) in the whole series. Barium enema reduction was tried in six patients with leading points and failed in all, as compared to 73 failures out of 149 attempts in the whole series (50.7%).

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“…(3) Cole, in 1966, described similar ceco-colic variant of AI in 100 cases of intussusception. (4) However, a later review from the same area (2002) suggested that the pattern of obstruction had changed considerably from that previously described by Cole. These authors concluded that a change to a more Western lifestyle, particularly diet, may have altered the prevalence of this condition.…”

Section: Discussionmentioning

confidence: 87%

Adult intussusception in the Democratic Republic of Congo

Groen

Leow

Kushner

2011

Journal of Surgical Case Reports

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Adult intussusception is a relatively infrequent, but well documented entity in the Western surgical literature, where the majorities of cases is caused by tumors and require resection. In Africa and other tropical locations, however, other causes of adult intussusceptions predominate and must be considered. As Western trained surgeons increasingly volunteer in developing countries it is imperative to become familiar with the complex presentation and differential diagnosis of this disease. We present an illustrative case of adult intussusception with a complex differential diagnosis that we recently treated during a surgical mission to the Democratic Republic of Congo.

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Caecocolic intussusception in Ibadan

Cited by 17 publications

References 18 publications

Cecal‐Colic Adult Intussusception as a Cause of Intestinal Obstruction in Central Africa

Cecal‐Colic Adult Intussusception as a Cause of Intestinal Obstruction in Central Africa

Precipitating Pathology in Childhood Intussusception: A Report of 19 Cases From Kuwait and Review of the Literature

Adult intussusception in the Democratic Republic of Congo

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