Chronic intussusception as a cause of persistent abdominal pain in children is often an overlooked diagnosis. Here we present an eight-year-old boy, who at the age of three years had an acute intussusception reduced hydrostatically with barium and who subsequently had been extensively investigated both in Wales and in Switzerland, for persistent colicky abdominal pain. He was found to have chronic intussusception, with a Meckel’s diverticulum being the cause of his symptoms.
Barbette P. Oeuvres Chirurgiques et Anatomiques. Geneva, Par Franocois Miege, 1675
2.
Rafineseque F.Étude Sur les Invaginations Intestinales Chroniques. Paris: Ballière et Fils , 1878
3.
Rees BI , Lari J.Chronic intussusception in children . Br J Surg1976;63: 33-35
4.
Ravitch MM.Consideration of the errors in the diagnosis of intussusception . Am J Dis Child1952;84: 17-26
5.
Brereton R , Taylor B , Hall CM.Intussusception and intestinal malrotation in infants: Waugh’s syndrome . Br J Surg1986;73: 55-57
6.
Breckon VM , Hadley GP.Waugh’s syndrome: a report of six patients . Pediatr Surg Int2000;16(5-6): 370-373
7.
Hughes UM , Connolly BL , Chait PG , Muraca S.Further report of small-bowel intussusceptions related to gastrojejunostomy tubes . Pediatr Radiol2000;30: 614-617
8.
Montgomery EA , Popek EJ.Intussusception, adenovirus and children: a brief reaffirmation . Hum Pathol1994;25(2): 169-174
9.
Ching E , Ching LT , Lynn HB , O’Connell EJ . Intussusception in children . Mayo Clin Proc1970;45(10): 724-728
10.
Mulcachy D , Kamath K , de Silva LM , Hodges S , Carter I , Cloonan MJ.A two-part study of the aetiological role of rotavirus in intussusception . J Med Virol1982;9(1): 51-55
11.
Schenken J , Kuger R , Schultz L.Papillary lymphoid hyperplasia of the terminal ileum: An unusual cause of intussusception and gastrointestinal bleeding in childhood . J Pediatr Surg1975;10(2): 259-265
12.
Linhares AC , Bresee JS.Rotavirus vaccines and vaccination in Latin America . Rev Panam Salud Publica2000;8(5): 305-331
13.
Kramarz P , France EK , Destefano F , Black SB , Shinefield H , Ward JI , et al . Population-based study of rotavirus vaccination and intussusception . Pediatr Infect Dis J2001;20(4): 410-416
14.
Simonsen L , Morens D , Elixhauser A , Gerber M , Van Raden M , Blackwelder W.Effect of rotavirus vaccination programme on trends in admission of infants to hospital for intussusception . Lancet2001;358: 1224-1229
15.
Kim YS , Rhu JH.Intussusception in infancy and childhood. Analysis of 385 cases . Int Surg1989;74(2): 114-118
16.
Bruce J , Borzi P.Intussusception in childhood . Int Surg1992;4: 213-218
17.
Pollett JE , Hems G.The decline in incidence of acute intussusception in childhood in north-east Scotland . J Epidemiol Community Health1980;34(1): 42-44
18.
Gudeta B.Intussusception in children: a ten year review . East Afr Med J1993;70(11): 730-731
19.
Mangete ED , Allison AB.Intussusception in infancy and childhood: analysis of 69 cases . East Afr Med J1993;70(11): 734-736
20.
Cruz Lopez M , Afonso Reis AM , Andrade Rolo VM , Marques Correia A , Aragao Machado M , Matos Coimbra JA.Intussusception in the Pediatric Hospital of Coimbra . An Esp Pediatr1992;37(3): 200-204 (Spanish)
21.
Stringer MD , Pledger G , Drake DP.Childhood deaths from intussusception in England and Wales, 1984-1989 . BMJ1992;304: 737-739
22.
Chung JL , Kong MS , Lin JN , Wang KL , Lou CC , Wong HF.Intussusception in infants and children: risk factors leading to surgical reduction . J Formo Med Assoc1994;93(6): 481-485
23.
Raudkivi PJ , Smith LH.Intussusception: analysis of 98 cases . Br J Surg1981;68(9): 645-648
24.
Champoux AN , Del Beccaro MA , Nazar-Stewart V.Recurrent intussusception . Risks and features. Arch Pediatr Adolesc Med1994;148(5): 474-478
25.
Garvie J , Kemp F.The diagnosis of intussusception in children with an account of three cases . Arch Dis Child1945;20: 73-77
26.
Reijnen JA , Feston C , Joosten HJ , van Wieringen PM . Atypical characteristics of a group of children with intussusception . Acta Paediatr Scand1990;76(6): 675-679
27.
Watson N , Bisset RA.Case report: a cause of chronic abdominal symptoms and weight loss . Clin Radiol1994;49(10): 723-726
28.
Willetts IE , Kite P , Barclay GR , Banks RE , Rumley A , Allgar V , et al . Endotoxin, cytokines and lipid peroxides in children with intussusception . Br J Surg2001;88(6): 878-883
29.
Sandler AD , Ein SH , Connolly B , Daneman A , Filler RM.Unsuccessful air-enema reduction of intussusception: is a second attempt worthwhile?Pediatr Surg Int1999;15: 214-216
30.
Chang ML , Cheung W , Ling YK , Chiu WW.Chronic intussusception in children: report of one case . Acta Paed Sinica1994;35(4): 335-340
31.
Bergdahl S , Hugosson C , Lauren T , Soderlund S.Atypical intussusception . J Pediatr Surg1972;1: 700-705
32.
Ein SH.Leading points in childhood intussusception . J Paed Surg1976;11(2): 209-211
33.
Ratcliffe JF , Fong S , Cheong I , O’Connell P.Plain-film diagnosis of intussusception: prevalence of the target sign . Am J Roentgenol1992;158(3): 619-621
34.
Barzilah M.Ultrasound in suspected intussusception . Harefew1994;127(1-2): 5-8
35.
Lerner A , Rossi TM , Hodge C , Riddlesberger MMJ.A CT sign: the “disappearing mass” as a clue to the diagnosis of intermittent intestinal intussusception in children . Comput Radiol1984;8(6): 387-390
36.
Luks FI , Yazbeck S , Perreault G , Desjardins JG.Changes in the presentation of intussusception . Am J Emerg Med1992;10(6): 574-576
37.
Eklof OA , Johanson L , Lohr G.Childhood intussusception: hydrostatic reducibility and the incidence of leading points in different age groups . Pediatr Radiol1980;10(2): 83-86
38.
Turner D , Rickwood AM , Brereton RJ.Intussusception in older children . Arch Dis Child1980;55(7): 544-546
39.
Ein SH , Shandling B , Reilly BJ , Stringer DA.Hydrostatic reduction of intussusceptions caused by lead points . J Pediatr Surg1986;21(10): 883-886
40.
Strang R.Intussusception in infancy and childhood . Br J Surg1959;46: 484-495
41.
Peck D , Lynn H , Dushane J.Intussusception in children . Surg Gynaecol Obstet1963;116: 398-404
42.
Hadidi AT , El Shal N.Childhood intussusception: a comparative study of nonsurgical management . J Pediatr Surg1999;34(2): 304-307
43.
Lui KW , Wong HF , Cheung YC , See LC , Ng KK , Kong MS , et al . Air enema for diagnosis and reduction of intussusception in children: clinical experience and fluoroscopy time correlation . J Pediatr Surg2001;36(3): 479-481
44.
Yoon CH , Kim HJ , Goo HW.Intussusception in children: US-guided pneumatic reduction-initial experience . Radiology2001;218(1): 85-88
45.
Soper R , Brown M.Recurrent acute intussusception in children . Arch Surg1964;89: 188-198
46.
Poddoubnyi IV , Dronov AF , Blinnikov OI , Smirnov AN , Darenkov IA , Dedov KA.Laparoscopy in the treatment of intussusception in children . J Pediatr Surg1998;33(8): 1194-1197
47.
Bratton SL , Haberkern CM , Waldhausen JH , Sawin RS , Allison JW.Intussusception: hospital size and risk of surgery . Pediatrics2001;107(2): 299-302
48.
Calder F , Tan S , Kitteringham L , Dykes EH.Patterns of management of intussusception outside tertiary centres . J Pediatr Surg2001;36(2): 312-315