Intussusception Flashcards

1
Q

Define intussusception?

A
  • Invagination of one portion of bowel into the lumen of the adjacent bowel
  • Most commonly around the ileo-caecal region
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2
Q

Describe the classical patient who presents with intussusception?

A
  • Infants between 6-18 months
  • More likely in males
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3
Q

Features of intussusception?

A
  • Paroxysmal abdominal colicky pain
    • Characteristically draw their knees up and turn pale during pain
  • Vomiting
  • Blood in stool
    • Red-currant jelly is a late sign
  • Sausage shaped mass in RUQ
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4
Q

Investigations into intussusception?

A
  • Abdominal US
    • Target-like mass
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5
Q

Describe the management of intussusception?

A
  • Reduction by air insufflation
    • Under radiological control
  • Surgery second line
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