Abstract
Rate of Spontaneous Resolution of Idiopathic Ileocolic Intussusception
Highlights
Idiopathic ileocolic intussusception is a common cause of abdominal pain in young children with potential serious clinical outcomes
There is an additional small population of patients who have an irreducible intussusception with enema, who proceed to the operating room (OR) for manual reduction and are found to no longer have intussusception
We included all patients who were transferred to our facility with a diagnosis of intussusception or suspected intussusception using transfer diagnosis codes included the phrase “intuss.” We excluded children with a past medical history of a condition predisposing to intussusception, those with history of abdominal tumor or surgery, and patients who did not have intussusception diagnosed by US, CT scan, or enema
Summary
Idiopathic ileocolic intussusception is a common cause of abdominal pain in young children with potential serious clinical outcomes. No describes spontaneously resolved intussusceptions at the time of attempted enema, except for one small case series of four patients.10 At this time there are no studies aimed at identifying the rate of spontaneous resolution of idiopathic ileocolic intussusception between the time of diagnosis and the time of attempted enema in otherwise healthy children. This information is important to know as it can inform management strategies; if there are patients whose intussusception can spontaneously reduce, this is important to identify in order to prevent those patients from receiving unnecessary invasive interventions. The objectives of this study were to identify the rate of spontaneous resolution of idiopathic ileocolic intussusception and identify features consistent among patients with spontaneous resolution
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