Intussusception

Question 1

Def

Answer 1

a process that occurs when a proximal segment of bowel “telescopes” into a more distal segment, causing edema, vascular compromise, and, ultimately, partial or total bowel obstruction

the intestine telescopes upon itself.

Question 2

S/S

Answer 2

• Sudden onset of intermittent, crampy abdominal pain
• Severe pain (children usually draw up their knees and scream)
• Vomiting
• Diarrhea
• Currant-jelly stools, gross blood, or hemoccult-positive stools
• Lethargy
• presence of a sausage-shaped mass in the upper midabdomen (a hallmark sign of intussusception)**

Question 3

Management/ Tx:

Answer 3

Management:
- assess pain, present of vomiting, stool patterns

Tx:
- barium enema
- If surgical reduction is unsuccessful or bowel necrosis has occurred, a portion of the bowel must be resected.

Question 4

Risk Factors

Answer 4

• cystic fibrosis
• celiac disease