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Intussusception Overview and Treatment

Intussusception is the invagination or telescoping of one segment of bowel into another. It has several potential etiologies including idiopathic causes, neoplasms, postoperative complications, Meckel's diverticulum, and colitis. The invaginated bowel becomes squeezed and congested as it is pulled distally by peristalsis. In children, symptoms include cramping pain, vomiting, jelly-like stools, and an abdominal mass. Adults present with intermittent pain, nausea, rectal bleeding, and nonspecific complaints. Diagnosis involves abdominal imaging like ultrasound, barium studies, or CT scan. Treatment options are air or contrast reduction procedures or surgical exploration and resection of

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0% found this document useful (0 votes)
6 views7 pages

Intussusception Overview and Treatment

Intussusception is the invagination or telescoping of one segment of bowel into another. It has several potential etiologies including idiopathic causes, neoplasms, postoperative complications, Meckel's diverticulum, and colitis. The invaginated bowel becomes squeezed and congested as it is pulled distally by peristalsis. In children, symptoms include cramping pain, vomiting, jelly-like stools, and an abdominal mass. Adults present with intermittent pain, nausea, rectal bleeding, and nonspecific complaints. Diagnosis involves abdominal imaging like ultrasound, barium studies, or CT scan. Treatment options are air or contrast reduction procedures or surgical exploration and resection of

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almira valmai
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© All Rights Reserved
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Problem 4

Yessica Desbet
405130211

Intussusception
Definition
The invagination or telescoping of a
proximal segment of bowel
(intussusceptum) into lumen of a distal
segment (intussuscipiens)

Etiology
Idiopatic (most common in children)
Neoplasm
Benign polyp, leiomyoma, lipoma, lympoma,
adenoma of appendix, appendiceal stump
granuloma
Malignant
Primary (more common in colon)
(more common in small bowel)

Postoperative
Meckels diverticulum
Colitis
Many cases thought to be related to viral
gastroenteritis in children

Pathophysiology
The invaginated segment is carried
distally by peristalsis
Mesentery and vessel become
involved with the intraluminal loop
and are squeezed within the
engulfing segment causing venous
congestion.
Types: enteroenteric, enterocolic, and
colocolic

Children
Well nourished
infant
Cramping
abdominal pain
Vomitting
Diarrhea (oftenjelly stools)
A palpable, tender,
sausage shaped
mass in the
abdomen

Adults
Intermitten pain
Nausea and
vomitting
Often red blood per
rectum
Often nonspecific
complains

Examination

Abdominal studies
Barium studies
Ultrasound
CT

Treatment
Air reduction
Contrast reduction

Surgical
exploration and
resection of the
intussuscepted
bowel loops

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