Intussusception Flashcards
1
Q
What is intussusception?
A
Invagination of one portion of bowel into the lumen of the adjacent bowl, commonly occurring at the ileo-caecal region
2
Q
What age range is typically affected?
A
6-18mths
3
Q
Girls are more affected than boys: TRUE/FALSE
A
False; boys are affected twice as often
4
Q
Name 5 features of intussusception
A
- Paroxysmal abdominal colic pain
- During colic, the child will usually draw their knees up and turn pale
- Vomiting
- Blood stained stool (LATE SIGN)
- Sausage-shaped mass in the RUQ
5
Q
What is the investigation of choice and what sign would indicate the presence of intussusception?
A
USS; may reveal a target-like mass
6
Q
What is the first line management option?
A
Air insufflation under radiological control
7
Q
When would surgery be indicated?
A
- If air insufflation fails
- Signs of peritonitis
