Intussusception Flashcards
1
Q
What is intussusception?
A
where the bowel invaginates or telescopes into itself
2
Q
presentation
A
palpable mass in abdomen
obstruction
boys
6 months - 2years
3
Q
associated conditions
A
viral illness HSP CF meckel diverticulum intestinal polyps
4
Q
symptoms
A
severe, colicky abdo pain
pale, lethargy, vomiting
5
Q
stool
A
redcurrant jelly
6
Q
mass
A
sausage shaped mass in RUQ
7
Q
obstruction features
A
vomiting
constipation
abdominal distension
8
Q
diagnosis
A
USS
contrast enema
9
Q
what can be done to help reduce intussusception?
A
therapeutic enemas
contrast, water or air
10
Q
when may surgery be required?
A
enemas do not work
bowel gangrenous or perforated
11
Q
complications
A
obstruction
gangrenous bowel
perforation
death
12
Q
USS finding
A
target sign
13
Q
most common place for it to occur
A
ileocaecal
