Intussusception

Question 1

Telescoping of one bowel into other is called

Answer 1

Intususseption

Question 2

Loop going inside is called

Answer 2

Intussesceptum

Question 3

Receiving loop

Answer 3

Intususcipiens

Question 4

Narrowest portion of intususseption

Answer 4

Neck

Question 5

Most common site of ischemia

Answer 5

Apex (also first)

Question 6

Types of intususseption

Answer 6

Primary
Secondary to pathological lead form

Question 7

Primary intususseption

Answer 7

Children
6 months - 2 years
Hypertrophy of peyers patches
Ileo-colic (MC)

Question 8

Secondary to a pathological lead point

Answer 8

Adults and children
Secondary to lesion
LESIONS IN ADULTS
polyp
Meckels diverticulum
Tumour

LESION IN CHILDREN
polyp
Lymphoma

Question 9

Secondary intususseption is mastly

Answer 9

Colio-colic

Question 10

Ultrasound findings in intususseption

Answer 10

Doughnut sign or target sign
Pseudo kidney sign( mesentric vessels within bowel loop)

Question 11

Contrast enema in a intususseption shows

Answer 11

Claw sign

Question 12

Management

Answer 12

Contrast and water pressure can push the bowel into normal position

Question 13

Which is both diagnostic and therapeutic in intususseption

Answer 13

Contrast enema

Question 14

Indications of surgery in intususseption

Answer 14

Resection and anastamose

Recurrent intususseption
Secondary pathological lead point
Perforation
Strangulated

Question 15

Retrograde intususseption

Answer 15

Diatal bowel loop goes into proximal

Common in patients with ROEU-EN-Y gastrojejunostomy

Question 16

Intususseption with no strangulation, no pathological lead point, no perforation

Answer 16

Reduce intususseption