Intussception

Question 1

What happens in intussception?

Answer 1

invagination of the small bowel into a distal segment of the large bowel

Question 2

What is intussception the most common cause of?

Answer 2

Most common cause of intestinal obstruction in children after neonatal period

Question 3

What is noted on examination?

Answer 3

‘Sausage shaped mass’ palpated in the abdomen

Question 4

The key defining feature of Intussception is

Answer 4

1. Paroxysmal severe, colicky pain
   - Child becomes pale and irritable
   - Draws legs up towards the abdomen

Question 5

Early feature of intussception is;

Answer 5

Billous vomiting - characteristic of obstruction

Question 6

Late feature of intussception is;

Answer 6

1. Red current jelly, blood stained mucus

Question 7

3 major clinical features of intussception are

Answer 7

1. Paroxysmal colicky pain
2. Billous vomiting
3. Blood in faeces

Question 8

Ix (2)

Answer 8

1. Abdominal X ray

2. Abdominal ultrasound

Question 9

Results of abdominal xray

Answer 9

1. Distended small bowel

2. Absence of gas in the distal colon and rectum

Question 10

Tx

Answer 10

1. IV fluids resus

2. Rectal air enema reduction

Question 11

Results of abdominal ultrasound

Answer 11

’ target like mass shown’