Thirty cases of intussusception in children from the Hôpital Albert Schweitzer (HAS) in Deschapelles, Haiti, were compared with 35 cases from Yale-New Haven Hospital (YNHH) during a similar period. Most epidemiologic factors were similar. The principal difference was later appearance and diagnosis at HAS. The overall survival rate for this disease at HAS was 53%, while 100% of patients at YNHH survived. Careful preoperative management with fluids, electrolytes, and antibiotics, combined with the more routine use of the Mikulicz procedure, should help to reduce the high mortality that accompanies pediatric intussusception in Haiti.
Minehan TF, Touloukian RJ. Pediatric Tropical Intussusception in Haiti. Arch Surg. 1974;109(6):772-775. doi:10.1001/archsurg.1974.01360060042012