Lightning Learning: Intussusception
Intussusception is the most common cause of intestinal obstruction in children aged from 5 months to 3 years. It accounts for up to 25% of all abdominal emergencies in children up to the age of 5.
Acute presentation to the Emergency Department
Most common in boys
Bowel “telescopes” in on itself (see diagram)
No known cause identified, but may be linked to infection
Spasms of acute colicky pain followed by lethargy/paleness.
?palpable “sausage shaped” mass, right upper quadrant and ‘red currant’ stools.
Blood flow to the affected part of the bowel
Function and bruising damage to the bowel tissue
Dehydration due to vomiting
Ischaemia from lymphatic and venous obstruction
IV bloods/correct dehydration
Air enema with analgesia