Intussusception Flashcards
1
Q
what is it?
A
the invagination of one portion of bowel into the lumen of the adjacent bowel, most commonly around the ileo-caecal region.
2
Q
ages affected
A
6-18 months old
3
Q
males or females
A
males more often
4
Q
features
A
paroxysmal abdominal colic pain
during paroxysm the infant will characteristically draw their knees up and turn pale
vomiting
bloodstained stool - ‘red-currant jelly’ - is a late sign
sausage-shaped mass in the right upper quadrant
5
Q
Ix
A
US - target like mass
6
Q
Mx
A
the majority of children can be treated with reduction by air insufflation under radiological control, which is now widely used first-line compared to the traditional barium enema
if this fails, or the child has signs of peritonitis, surgery is performed
