Trans-anal prolapse of ileo-colic intussusception

Irene, Mutua; Ransom, James H.; Dan, Kiptoon

doi:10.1016/j.epsc.2018.07.029

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…Delay in presentation due to neglect on the part of the parents or primary care physicians is the prime cause of increased morbidity and mortality around 25-40%. A stoma or resection and anastomosis may be required, as suggested by Ray et al, Mutua I et al, and Ameh et al [5][6][7] Ibrahim IA, could co-relate the length of the mesentery and duration of symptoms to the viability of the affected segment of gut. 8 Obiora EU et al, Ngom G et al, and Sivit CJ, proposed a possible explanation of the course of the disease.…”

Section: Discussionmentioning

confidence: 99%

Trans-anal protrusion of intussusception (TAPI) revisited: managed successfully in a resource limited hospital setting

Basu

2018

Int Surg J

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Intussusception is the most common cause of Acute bowel obstruction in infants and toddlers. However, a Trans-anal protrusion of an intussusception (TAPI) is relatively rare and is not well reported in literature. A high index of suspicion is essential as the diagnosis is purely clinical, and often confused with rectal prolapse. Most patients present late due to neglect on the part of the parents or the primary treating physician. A late presentation usually results in a poor outcome and increased morbidity and mortality. Uncommonly these children may present early, where a prompt surgical management is desirable. The author reports a single case of a Trans anal protrusion of intussusception (TAPI) in a 1-½ -year old female child who was successfully managed in the author's resource-limited teaching institution without a dedicated pediatric surgery unit.

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Section: Discussionmentioning

confidence: 99%