Ch. 333.3 - Intussusception Flashcards
MCC of intestinal obstruction between 5 months and 3 years of age
Intussusception
MC abdominal emergency in children younger than 2yo
Intussusception
Many ___ and few ___ intussusceptions reduce spontaneously
Small bowel-small bowel; small bowel-colonic
Intussusception in infants 1 yr old or younger has been associated with ___ vaccine
Tetravalent rhesus-human reassortment rotavirus vaccine
T/F Recognizable lead points for intussusception are found in majority of affected patients
F, only 2-8%
Intussusception lead points are more common in what age group
> 2y/o and adults (90%)
Post operative intussusception is what type
Ileoileal
Type of intussusception associated with HSP
Ileal-ileal
MC type of intussusception
Ileocolic
T/F Most intussusceptions do not strangulate the bowel within the first 24 hours
T
Lethargy disproportionate to abdominal signs
Intussusception
Currant jelly stool is passed in 60% of patients with what condition
Intussusception
Classic triad of intussusception
1) Palpable sausage-shaped mass 2) Bloody or currant jelly stool 3) Pain
Combination of these 3 signs has a positive predictive value of >90% for intussusception
1) Paroxysmal pain 2) Vomiting 3) Palpable mass
MC location of sausage-shaped mass in intussusception
RUQ
Configuration of long axis of sausage-shaped mass of intussusception if it is in the RUQ
Cephalocaudal
Configuration of long axis of sausage-shaped mass of intussusception if it is in the epigastrium
Transverse
T/F Ileoileal intussusception in children less than 2 y/o presents chiefly with signs of small intestinal obstruction and resolves without treatment
T
T/F Recurrent intussusception is seen more commonly after hydrostatic than surgical reduction
T
Appearance of intussuception on UTZ
Tubular mass in the longitudinal view and doughnut or target appearance in the transverse view
Ultrasound has a sensitivity and specificity of __ and ___ for intussusception
98-100, 98
Positive test for intussusception by contrast enema
Filling defect or cupping in the head of the contrast media, or coiled-spring sign
Hydrostatic vs air reduction for intus: Fewer complications and lower radiation exposure
Air reduction
An ileoileal intussusception is best demonstrated by
UTZ