Intussusception: Difference between revisions
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==Background== | ==Background== | ||
*Most common cause of intestinal obstruction in 3mo-6yr | *Most common cause of intestinal obstruction in 3mo-6yr | ||
**Usually occurs in | **Usually occurs in 3-36 months | ||
*Due to telescoping of one part of intestine into another | *Due to telescoping of one part of intestine into another | ||
**Mesentery involvement > ischemia, bloody/mucous stool | **Mesentery involvement > ischemia, bloody/mucous stool | ||
Revision as of 15:49, 28 October 2011
Background
- Most common cause of intestinal obstruction in 3mo-6yr
- Usually occurs in 3-36 months
- Due to telescoping of one part of intestine into another
- Mesentery involvement > ischemia, bloody/mucous stool
Diagnosis
- Triad:
- Sudden colicky pain
- Vomiting (bilious)
- Currant jelly stool (only 50% of cases)
- Intermittent pain
- Child pulls up knees
- May be asymptomatic between episodes
- Imaging
- Ambiguous dx = Ultrasound
- Likely dx = air contrast enema
- Diagnostic and frequently curative
- All labs nonspecific
Treatment
- NPO
- Surgery consult
- Air-contrast enema (reduces 80%)
Disposition
Admit