Intussusception Flashcards
What is the condition characterized by a section of the bowel telescoping into its distal section?
Intussusception
This condition leads to bowel obstruction.
At which anatomical location is intussusception most commonly observed?
Ileocaecal valve
This is the most common site for intussusception.
What age group is most affected by intussusception?
Infants between 3 months and 2 years
It is also more common in boys.
List some associated conditions with intussusception.
- Viral illness
- Henoch-Schonlein purpura
- Cystic fibrosis
- Intestinal polyps
- Meckel diverticulum
- Lymphomas and leukemias
These conditions may contribute to the development of intussusception.
What are the key symptoms in the triad of intussusception?
- Intermittent, severe abdominal pain (knees drawn to chest)
- Vomiting (bilious in later stage)
- Redcurrant jelly stool (late feature)
These symptoms help in the clinical diagnosis of intussusception.
What is a notable physical examination finding in intussusception?
Sausage-shaped mass palpable in RUQ
This finding can indicate the presence of intussusception.
What is the gold-standard diagnostic tool for intussusception?
Ultrasound scan
It may show the target or doughnut sign.
What are the initial management steps for intussusception?
- IV fluids
- Analgesia
- NG tube
- Nil-by-mouth
These steps help stabilize the patient before definitive management.
What are the two main types of definitive management for intussusception?
- Non-surgical (therapeutic enemas: air or water)
- Surgical (surgical reduction or bowel resection)
These options depend on the severity and circumstances of the case.