intussusception Flashcards
M/c of intussusception
Idiopathic by hypertrophic Peter patches
hypertrophic Peter patches
recent URTI or gastroenteritis
Adenovirus and rotavirus
M/c cause Secondary Intussusception
Meckel diverticulum (most common)
Traid of Intussusception/ what’s clinical presentation of intussusception
intermittent cramp abdominal pain
‘currant jelly’ stools
Palpable mass
Clinical presentation of intussusception
- abdominal pain + stiffness (pull the leg toward the abdomen)+ vomiting + writhing
If the intussusception lead to obstruction what the clinical presentation
Small or normal bowel movements will stop
Bilious emesis
Increasing abdominal distention
Late signs include:
Passage of redcurrent jelly stools
Laboratory derangements (leukocytosis, and electrolyte abnormalities)
Physical examination
During painless»_space;» unremarkable
Cramping episode every 15-30 minutes
late : hypotension,tachycardia,dehydration
Prolapse (grave sign )
Abdominal physical examination
Dance sign :RLQ flat or empty
Sausage shaped or curved (palpable or visualized )
Audible peristalsis rushes
Laaaaate sign on rectal examination:
bloodstained or mucus
grave sign
Late prolapse of the intussusceprum through the anus
Diagnosis
Abdominal x rays
US
cT
MRI
US character finding
‘Target’ or ‘doughnut’ lesion; in a transverse plane
‘
Pseudokidney’ sign; on longitudinal section
Contra dictation of non operative treatment
Peritonitis
Hypotension
Intestinal perforation
