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PEDIATRIC SURGERY
Case #1 -
A 6 month old with acute intermittent abdominal pain

DISCUSSION QUESTIONS:
6.) What are the causes of intussusception in young children? In older children and adults?

In young children, the cause of the intussusception is idiopathic and cannot be determined. These children may have enlarged mesenteric nodes or Peyer's patches. Under age 2, only 5-10% of children have an anatomical lead point.



In older children, there is more commonly a lead point. The most common lead point is a Meckel's diverticulum and other causes include polyps, duplications, or lymphomas. By age 4, 50% of children have an identifiable lead point.



In adults 95% have a lead point and over half of these are malignant.  
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