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INTUSSUSCEPTION

INTUSSUSCEPTION

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Bright Kumwenda
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20 views

INTUSSUSCEPTION

INTUSSUSCEPTION

Uploaded by

Bright Kumwenda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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INTUSSUSCEPTION

Type of bowel obstruction whereby one


part of bowel invaginates into the adjust
segment leading into strangulation of the
bowel
It is common type of obstruction in
children and infants.
Usually proximal bowel enter into
the distal bowel. It can be seen in
adults but rare.
CLASSIFICATION
• Ileo caecal (16%)
• Ileal ileal (5%)
• Ileo colic (77%)
• Colo colic (2%)
• Jejunogastric (in of anastomosis of the though
rare)
• It can be acute in infants and children,
subacute in adolescent, chronic in old age

• INCIDENCE
Common between 6-9 months common in
males than females and it is the commonest
cause of intestinal obstruction in the first two
years of life.
AETIOLOGY
• Most common cause of intussusception in
inflammation of the payers patches or lymphoid
follicles.
This is because 6-9 months of age weaning takes place
and substitution of artificial milk is done. This
irritates the intestines resulting into oedema as a
sign of inflammation
The inflamed part get pushed into another lumen due
to peristalsis. This continues to the extent of the
proximal bowel invaginating into distal distal bowel.
• A polypoid tumour inside the lumen,
peristaltic waves may push it forward together
with the lumen into another lumen
• An inverted meckel’s diverticulum may also
result into intussusception if pushed
• As intussusception progresses, the blood vessels
may get compressed leading to
Strangulation

Atrophy

Gangrene
CLINICAL FEATURES
• Sudden abdominal colic in a healthy child during
first 2 years common between 6 -9 months
followed by passage of blood and mucus
resembling (red currant jelly)
• Child screams in agony during colicky pain and
assumes an attitude of flexion once in every 10 – 15
minutes
• At onset may be bile stained vomiting
• In adults is common in muhammadans after fasting
EXAMINATION
• Visible peristalsis
• Sausage shaped mass around umblicus (curvature of mass
always faces the umblicus)
• Abdomen becomes rigid
• In late cases the rt iliac fossa becomes empty reffered to as
SIGNAE DANCE
• Increased peristalsis
• Abd distension and profuse vomiting when peritonitis has
get in due to inflamation and gangrene
• Mass may be felt PR
• Ba enema may show claw tooth appearance
TREATMENT
• Reduction, resection and anastomosis

PRE – OP
NPO
NGT
IV Fluids
Blood transfussion

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