3.11 Intussusception Flashcards
1
Q
Intussusception is more common in boys or girls?
A
boys
2
Q
What happens in intussusception?
A
bowel invaginate / telescopes into itself
3
Q
Name 5 conditions that are associated with intussusception?
A
- concurrent viral illness
- Henoch-Schonlein purpura
- CF
- intestinal polyps
- Meckel diverticulum
4
Q
Presentation of intussusception?
A
- “redcurrant jelly stool”
- “sausage shaped mass” often in RUQ
- intestinal obstruction
- vomiting
- severe colicky pain
- pale, lethargic unwell child
5
Q
Investigations in intussusception?
A
US scan is initial Ix
contrast enema can also be done
6
Q
Management of intussusception?
A
therapeutic enemas - air, water or contrast pumped into colon
surgical reduction if enemas fail
surgical resection if bowel becomes gangrenous or perforates
