Intussusception

Question 1

What is the condition characterized by a section of the bowel telescoping into its distal section?

Answer 1

Intussusception

This condition leads to bowel obstruction.

Question 2

At which anatomical location is intussusception most commonly observed?

Answer 2

Ileocaecal valve

This is the most common site for intussusception.

Question 3

What age group is most affected by intussusception?

Answer 3

Infants between 3 months and 2 years

It is also more common in boys.

Question 4

List some associated conditions with intussusception.

Answer 4

• Viral illness
• Henoch-Schonlein purpura
• Cystic fibrosis
• Intestinal polyps
• Meckel diverticulum
• Lymphomas and leukemias

These conditions may contribute to the development of intussusception.

Question 5

What are the key symptoms in the triad of intussusception?

Answer 5

• Intermittent, severe abdominal pain (knees drawn to chest)
• Vomiting (bilious in later stage)
• Redcurrant jelly stool (late feature)

These symptoms help in the clinical diagnosis of intussusception.

Question 6

What is a notable physical examination finding in intussusception?

Answer 6

Sausage-shaped mass palpable in RUQ

This finding can indicate the presence of intussusception.

Question 7

What is the gold-standard diagnostic tool for intussusception?

Answer 7

Ultrasound scan

It may show the target or doughnut sign.

Question 8

What are the initial management steps for intussusception?

Answer 8

• IV fluids
• Analgesia
• NG tube
• Nil-by-mouth

These steps help stabilize the patient before definitive management.

Question 9

What are the two main types of definitive management for intussusception?

Answer 9

• Non-surgical (therapeutic enemas: air or water)
• Surgical (surgical reduction or bowel resection)

These options depend on the severity and circumstances of the case.