Intussuception Flashcards
1
Q
Intussuception
A
Invagination of one portion of the bowel into the lumen of the adjacent bowel
Most commonly affects the ileo-caecal region
2
Q
Age group
A
6-18 months
Boys affected twice as often as girls
3
Q
Features
A
Intermittent, severe, crampy, progressive abdo pain
Inconsolable crying
During paroxysm the infant will characteristically draw their knees up and turn pale
Vomiting
Bloodstained stool ‘red currant jelly’ (late sign)
Sausage shaped mass in the RUQ
4
Q
Investigations
A
US is investigation of choice
Target-like mass
5
Q
Management
A
Air reduction under radiological control
If this fails or peritonitis surgery is performed
