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