DOI: 10.36347/sjams.2016.v04i05.073

Pages: 1804-1806

Intussusception is a pathology in which telescoping of a proximal segment of bowel (intussusceptum) occurs into lumen of the distal segment (intussuscipiens). The bowel may simply telescope on itself (non pathological lead point) which consists of more than 90% or a specific pathological lead point is more commonly found in children older than 3 years in less than 10%. The aim of the study is to review the incidence and prevalence of pathological lead points causing intussusception. A retrospective study was conducted at our centre from April 2015 to April 2016, all the intussusception patients presenting as pathological lead point were considered in the study. A total of 131 intussusception patients were operated, out of which 7(5.1%) patients were operated with pathological lead points, 3 cases presented with meckels diverticulum (42.8%) 1 patient with non-Hodgkins lymphoma (14.2%), 3 patients with duplication cyst (42.8%). In our study also we found meckels diverticulum to be major cause of pathological lead point in intussusception. It is important to be aware of Pathological lead point causing intussusception seen in small percentage of patients with typical age group which can be managed with surgical excision giving good results.