Intussusception Flashcards
1
Q
Def
A
a process that occurs when a proximal segment of bowel “telescopes” into a more distal segment, causing edema, vascular compromise, and, ultimately, partial or total bowel obstruction
the intestine telescopes upon itself.
2
Q
S/S
A
- Sudden onset of intermittent, crampy abdominal pain
- Severe pain (children usually draw up their knees and scream)
- Vomiting
- Diarrhea
- Currant-jelly stools, gross blood, or hemoccult-positive stools
- Lethargy
- presence of a sausage-shaped mass in the upper midabdomen (a hallmark sign of intussusception)**
3
Q
Management/ Tx:
A
Management:
- assess pain, present of vomiting, stool patterns
Tx:
- barium enema
- If surgical reduction is unsuccessful or bowel necrosis has occurred, a portion of the bowel must be resected.
4
Q
Risk Factors
A
- cystic fibrosis
- celiac disease