Intussusception Flashcards
What is intussusception?
A condition where the bowel ‘telescopes’ into itself
What conditions is intussusception associated with?
IgA vasculitis
Concurrent viral illness
Cystic fibrosis
Intestinal polyps
Meckel’s diverticulum
What is the presentation of intussusception?
Severe, colicky abdominal pain
Characteristic position of drawing up legs
Recurrent jelly stool
Sausage shaped RUQ mass
Vomiting
What investigations can be used to diagnose intussusception?
Abdominal ultrasound
Contrast enema
What is the management of intussusception?
Rectal air insufflation or contrast enema
Operative reduction
What are the complications of intussusception?
Bowel perforation
Peritonitis
Gut necrosis
What will be seen on an ultrasound in intussusception?
Concentric echogenic and hypoechogenic bands
What sign is typically seen on ultrasound in intussusception?
Target sign
Where is the most common site of intussusception?
Ileo-caecal junction
What conditions is intussusception associated with?
Meckel’s diverticulum
CF
