2: GI - Intusussception Flashcards
What is intussusception
Portion of small bowel telescopes through distal part causing mechanical obstruction
What is the most common cause of bowel obstruction in children
Intusussception
When can intussusception occur
5months - 6 years
What is the most common age for intussusception
3 months - 12 months
In which gender is intussusception more common
Male (3:1)
When is there more likely to be an underlying cause of intussusception
<3 months or >5 years
What are four possible causes of intussusception
- Meckels diverticulum
- CF
- Oedema of the bowel wall
- Intestinal
What is meckel’s diverticulum
embryological remanent of the oosomesonephric duct
What is the ‘triad’ of intususcceptibon
- Abdominal Pain
- Sausage shaped mass in RUQ
- Red current jelly stools
How will abdominal pain present in intussusception
Colicky abdominal pain - child will present pulling their knees up and inconsolable crying
Aside from abdominal pain, what other symptoms are present in intussusception
Vomitting
Lethargy
What is a sign of intussusception
Palpable sausage-shaped mass in RUQ
What can be auscultated in intussusception and why
Tinkling bowel sounds - caused by obstruction
What is a late sign of intussusception
Red currant jelly stools
What is the commonest site for intususception
Ileocaecal valve