Intussusception

Question 1

What is intussception?

Answer 1

Bowel invaginates or telescopes into itself

Question 2

What does intussception cause?

Answer 2

Obstruction to passage of faeces through bowel
Palpable mass in abdomen

Question 3

What age grouo does bowel susception normally occur in?

Answer 3

Infants - 6 months to 2 years

Question 4

Associated conditions with intussception

Answer 4

Concurrent viral illness
HSP
CF
Intestinal polyps
Meckel diverticulum

Question 5

Presentation of intussception

Answer 5

Severe colicky abdominal pain
Pale, lethargic and unwell child
Redcurratn jelly stool
RUQ mass on palpation - sausage shaped
Vomitting
intestinal obstruction

Question 6

Classical features of intussception

Answer 6

Redcurrant jelly stool
RUQ sausage shaped mass
Viral URTI preceding illness
Itestinal obstruction features

Question 7

Investigation of choice for intussception

Answer 7

US
Then contrast enema

Question 8

Management of intussception

Answer 8

Therapeutic enemas
Surgical reduction

Question 8

Management of intussception

Answer 8

Therapeutic enemas
Surgical reduction

Question 9

When is surgical resection necessary in intussception?

Answer 9

When bowel becomes gangrenous or perforated

Question 10

Complications of intussceotion

Answer 10

Obstruction
Gangrenous bowel
Perforation
Death