Abstract

Intussusception is an infantile abdominal emergency where one portion of the intestine is introduced into another, varying its incidence according to the region. This study will focus on characterizing and analyzing cases of intussusception in children treated at the Antiguo Hospital Civil of Guadalajara "Fray Antonio Alcalde" between 2019 and 2024. The aim is to quantify the cases, describe the symptoms, and identify seasonal patterns. Methods: A total of 82 children aged 0 to 2 years with a diagnosis of intussusception were included in the Antiguo Hospital Civil Hospital of Guadalajara "Fray Antonio Alcalde", from January 1, 2019 to May 31, 2024. Sex, age, symptoms, type of management implemented, type of research, recurrent intussusception, association between therapeutic management and recurrent intussusception were reviewed, seasonal pattern, mortality. Results: A total of 82 children aged 0 to 2 years, with a median age of 7 months, were included. 50% were boys and 50% girls. 65 presented vomiting, 62 abdominal pain and 75 bloody stools; 6 children showed a single symptom, 32 had two, and 44 exhibited the complete triad. Use of laparotomy in 48.8% of cases, hydroenema in 28%. Ileoechocolic intussusception was the most common (50%), followed by ileocolic (40%). A seasonal pattern was observed, with 49 cases in the first six months of the year, with February standing out with 10 cases. Fisher's exact test showed a moderate association between therapeutic management and recurrence of intussusception (p=0.018). There was a mortality rate of 24.39%.

Keywords

Intussusception, classic triad, pediatric