Intussusception

Common cause

of

INTESTINAL OBSTRUCTION

INFANCY

EARLY CHILD HOOD

INVAGINATION

of a

Portion of

intestine

into itself

Parts

• Intussusceptum

• Intussuscepiens

• Neck

• Apex

Causes

Idiopathic – 95%

Proliferation of Peyer’s patches

Adenomas, Hemangiomas, Meckel’setc in Older children

Pathophysiology

Lymphatic obstruction

Venous obstruction

Arterial obstruction

Sites

•Ileocecal - commonest

Clincal presentation

•Age – 4-10months

•Well fed babies

•Males

Symptoms

• Colicky abdominal pain,

vomiting, abdominal distention

• RED CURRANT JELLY STOOLS

Signs

• C – Shaped mass shifting in site

• Empty in Rt.Iliac fossa-sign de

dance

BARIUM ENEMA

CLAW/PINCER SIGN

SPRING COIL APPEARANCE

ULTRASOUND

DOUGHNUT SHAPED MASS

PSEUDOKIDNEY SIGN

Treatment

• RESUSCITATION

• NON-OPERATIVE

• OPERATIVE

NON OPERATIVE

HYDROSTATIC REDUCTION

BARIUM REDUCTION

OPERATIVE

• Reduction by gentle pushing

• Resection and anastamosis if

gangrene is present