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Intussusception
Intussusception is the invagination of one part of intestine into another. This occurs in one in 2000 infants. It is the most common abdominal emergency in infants. Age group - Infants (4 months ) to preschool children
What do you see – Presentation
Sudden onset of severe colicky intermittent pain. Incessant cry, vomiting, bleeding in the stools (like red current jelly)
When I see such patients, I find..
Tender (painful) mass in the abdomen, mild dehydration, Per Rectal examination will confirm either mass or Blood. Ultrasonogram is 100% accuracy in diagnosing the condition
Treatment options
Admit in Hospital with a Pediatric setup. Start a IV line, Antibiotics, Hydrate the infant. Treatment can be either surgical or non surgical
Follow Up care
How long is hospital stay – when can you eat – work when sutures come out – any special precautions – any follow up appointment necessary
My Experience
Over the past 10 years in Paediatric surgery, I have operated on nearly 500 cases; non operative reduction in 75 cases with no recurrence. The problems on follow up are recurrent colicky abdominal pain, adhesive intestinal obstruction, they are less than 10 in this series.
Dr. C. SankkaraBarathi
MBBS, MS (Gen), MCh (Paediatric Surgery)
Paediatric Surgeon
Paediatric Urologist
Quick Contact
- SRI SAINATH HOSPITAL AND RESEARCH INTITUTE, Old No.11, New No.9, McNichols Road, 4th Lane, Chetpet, Chennai – 600031 (Opp. to Chetpet Police Station)
- drcsbarathi@yahoo.co.in
- 044-28363234 / 28361535 / 48639988 / 42867758
- 9840113875
My Advice on Common Conditions
Undescended Testis
Undescended testis is found in 3% of term boys and 30% of preterm boys.
When the baby is formed in the womb, the testis is initially formed inside the baby’s belly.
Wilms Tumour
This is one of the most common childhood tumour, it affect the kidney, usually affects school going kids, one of the good prognostic tumour.
Phimosis
Narrowing of foreskin or non retractile foreskin. Empty scrotum one side or both sides, can be identify in new born. It can descend in three to four months without any intervention.
Tongue Tie
Is a congenital oral anomaly which may decrease mobility of tongue tip & is caused by an unusually short thick lingual frenulum.
Hypospadias
Abnormal opening of Urethral opening in the under surface of penis, very common pediatric urological problem Incidence is one in five hundred.
Intussusception
Intussusception is the invagination of one part of intestine into another. This occurs in one in 2000 infants. It is the most common abdominal emergency in infants.
Habit Constipation
This is one of the common condition - a child with constipation may have bowel movements less frequently than normal, hard bowel movements, or large, difficult, painful bowel movements.
Hernia - Hydrocele
A small passage has developed or left open connecting the belly to baby's groin, the second common surgical condition next to phimosis.
Appendicitis
Most common acute surgical condition in pediatric age group incident is nearly nine percent in male children and seven percent in female children.
Congenital pyloric stenosis
This occurs between 4th week of age to 6 week of age, can occur in new born also, exact cause not known.