Intussusception

Question 1

what is intussusception?

Answer 1

invagination of one portion of the bowel into the lumen of the adjacent bowel

Question 2

where does intussusception most commonly occur?

Answer 2

around the ileo-caecal region

Question 3

what age does intussusception commonly affect?

Answer 3

6-18 month old

Question 4

what sex is more experience intussusception?

Answer 4

male

Question 5

describe the typical pain experienced in intussusception?

Answer 5

abdominal pain
* intermittent
* severe
* crampy
* progressive

Question 6

what are the features of intussusception?

Answer 6

• abdominal pain
• inconsolable crying
• drawing knees to chest and turing pale
• vomiting

Question 7

what is a late sign of intussusception?

Answer 7

bloodstained stool (‘red-currant jelly’)

Question 8

what is felt on examination in intussusception?

Answer 8

sausage-shaped mass in the RUQ

Question 9

what is the investigation of choice in intussusception?

Answer 9

ultrasound

Question 10

what can be seen on ultrasound in intussusception?

Answer 10

target-like mass

Question 11

how is intussusception managed?

Answer 11

air insufflation under radiological control