Intussusception22 September, 2011 by: colinparker
Intussusception is a ‘telescoping’ of the bowel on itself, commonest in infants between 5 and 10 months of age. Usually, the classic triad of abdominal pain, vomiting and red-currant-jelly stools is not present, so how do we diagnose this sneaky little condition?
In this episode, we explore the clinical presentation, investigation and management of this bowel-threatening condition.
Outline: Intussusception PEMcast
[cp] intro, disclaimer, background
[cp] History (of the condition)
[rr] Aetiology & Pathophysiology
[sf] Incidence (worldwide)
[cp] incidence in Australia, and at our hospital
[sf] Clinical: History
[rr] Examination findings (caution about triad – usually not the case; highlight pallor – including parental report of)
[cp] Differential diagnoses (including causes of altered conscious state)
[rr] Investigations: AXR
[sf] Investigations: U/S
[cp] Treatment: air enema
[rr] Treatment: surgical reduction
[sf] Complications (including perforation, recurrence)
[all] Summary, goodbye
References & Further Reading
Pediatric Intussusception Surgery
Winslow BT, Westfall JM, Nicholas RA.
Am Fam Physician. 1996 Jul;54(1):213-7, 220. Review. PubMed PMID: 8677837.
Clinically suspected intussusception in children: evidence-based review and self-assessment module.
AJR Am J Roentgenol. 2005 Sep;185(3 Suppl):S175-83. Review.
Erratum in: AJR Am J Roentgenol. 2005 Dec;185(6 Suppl):S213. PubMed PMID: 16120899.