Intussusception is the invagination of one part of intestine into another. This occurs in one in 2000 infants. It is the most common abdominal emergency in infants. Age group- Infants (4 months ) to preschool children
What do you see – Presentation
Sudden onset of severe colicky intermittent pain. Incessant cry, vomiting, bleeding in the stools (like red current jelly)
When I see such patients, I find….. Tender (painful) mass in the abdomen, mild dehydration, Per Rectal examination will confirm either mass or Blood.
Ultrasonogram is 100% accuracy in diagnosing the condition
(target or donut sign)
Treatment options Admit in Hospital with a Pediatric setup
Start a IV line, Antibiotics, Hydrate the infant
Treatment can be either surgical or non surgical
Follow Up care
How long is hospital stay – when can you eat – work when sutures come out – any special precautions – any follow up appointment necessary
Over the past 10 years in Paediatric surgery, I have operated on nearly 500 cases; non operative reduction in 75 cases with no recurrence. The problems on follow up are recurrent colicky abdominal pain, adhesive intestinal obstruction, they are less than 10 in this series.