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May 1962

Intussusception of Infancy and Childhood: A Concept of Its Etiology

Author Affiliations


Arch Surg. 1962;84(5):499-503. doi:10.1001/archsurg.1962.01300230015004

There is perhaps no more clearcut clinical surgical entity than ileocecal intussusception in infancy and childhood; but, conversely, there are few surgical problems with etiological concepts more vague than those for intussusception. The purpose of this paper is discussion of anatomical structures which should be considered as mechanical factors contributing strongly to the cause of this lesion. This discussion will consider only intussusception at the ileocecal junction.

Notations in the literature are vague with respect to the mechanical aspects of etiology of intussusception at the ileocecal junction. Fitzwilliams1 stated that in the onward progression of intussusception the longitudinal fibers of the sheath are the all-important factor, while the circular fibers merely contribute a fixed point on which they may act. Ladd and Gross,2 in a study of 372 cases, noted that 74% were ileocecal on origin. These authors noted that 87% occurred in children under 2 years of