DOI: 10.36347/sasjs

Pages: 165-171

Intestinal obstruction in the first year of age is a common cause of morbidity and mortality. The main objective was to identify the causes, presentation and management outcome of intestinal obstruction in the first year of age. Other objectives were to to review modalities of treatment instituted and to study the outcome of treatment (morbidity and mortality). This is a prospective, observational, cross sectional study, conducted at Bahri (Khartoum north) teaching hospital (KNTH), Khartoum, Sudan, the hospital which receives the highest number of paediatric surgical emergencies in Khartoum state, in the period from October 2014 to October 2015, follow up period was 4 to 6 months. A semi-structured questionnaire was used to collect the data after agreed informed consents. SPSS version16 was used to analyze the results. The study showed that 42 out of 54 patients (77.8%) were males while 12 patients (22.2%) were females. All of them are aged less than one year on first admission by intestinal obstruction, The mean age was 3.1±3.5 months, range fron 2days to 11.5 months. (48.1%) were aged less than one month as the peak age group while (11.1% ) were aged 1to 3 months as the least group.The diagnoses were Hirschsprung's disease in 37% of patients (n=20), anorectal malformations 22.2% (n=12), Intussusception18.5% (n=10), malrotation 11.1% (n=6), obstructed herniae 5.6% (n=3), mixed 3.7% (n=2), and bowel atresia 1 patient