Ultrasonographic and clinical predictors of intussusception. The painless intussusception. Predictors of intussusception in young children. Arch Pediatr Adolesc Med.
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Differential diagnosis[ edit ] An intussusception has two main differential diagnoses: acute gastroenteritis and rectal prolapse. Abdominal pain, vomiting, and stool with mucus and blood are present in acute gastroenteritis, but diarrhea is the leading symptom. Rectal prolapse can be differentiated by projecting mucosa that can be felt in continuity with the perianal skin, whereas in intussusception the finger may pass indefinitely into the depth of the sulcus.
Treatment[ edit ] The condition is not usually immediately life-threatening. The intussusception can be treated with either a barium or water-soluble contrast enema or an air-contrast enema, which both confirms the diagnosis of intussusception, and in most cases successfully reduces it. In a surgical reduction, the surgeon opens the abdomen and manually squeezes rather than pulls the part that has telescoped.
If the surgeon cannot successfully reduce it, or the bowel is damaged, they resect the affected section.
More often, the intussusception can be reduced by laparoscopy , pulling the segments of intestine apart with forceps. In developing countries where medical hospitals are not easily accessible, especially when other problems complicate the intussusception, death becomes almost inevitable. When intussusception or any other severe medical problem is suspected, the person must be taken to a hospital immediately.
It requires fast treatment, because the longer the intestine segment is prolapsed the longer it goes without bloodflow, and the less effective a non-surgical reduction is.
Prolonged intussusception also increases the likelihood of bowel ischemia and necrosis, requiring surgical resection. It strikes about 2, infants one in every 1, in the United States in the first year of life.
Its incidence begins to rise at about one to five months of life, peaks at four to nine months of age, and then gradually declines at around 18 months.
Intussusception occurs more frequently in boys than in girls, with a ratio of approximately
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Intususcepción En Niños
Faukazahn Radiol Clin North Am ; 41 6: The etiology of these intussusceptions was idiopathic or secondary to a lesion acting as the lead point for invagination. The treatment chosen is the radiological reduction, preferably the air ACE as a contrast way intususcspcion of its low risk in the reduction appellant of up to 10 episodes. The four unoperated patients were followed up for a mean of months range: Do you really want to delete this prezi? A year-old man with a history of HIV infection diagnosed intususccepcion years before, anti-hepatitis C antibodies and inhaled drug abuse was admitted to our hospital with a 20 day history of intermittent abdominal colicky pain, predominantly on the periumbilical region and in the left flank, and fever, night sweats and weight loss 5 kg during. Acute intestinal intussusceptions in adults: Ann Chir ; 8: Surgery is the first-line therapy in complications such as perforation Ann Surg ; Clinical entity and treatment strategies for adult intussusceptions: Clinical spectrum and surgical approach of adult intussusceptions: Surgery is also necessary to obtain a biopsy to establish the diagnosis and to assess the regional extension of the neoplasm. Azar T, Berger DL.
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Small Bowel Intussusception can also lead to intestinal necrosis. These delays are associated with higher complication rates. Obviously it would be best to avoid unnecessary surgery for those that will have spontaneous reduction of their benign small bowel intussusception. Smaller is better.
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Invaginación intestinal en los niños
Differential diagnosis[ edit ] An intussusception has two main differential diagnoses: acute gastroenteritis and rectal prolapse. Abdominal pain, vomiting, and stool with mucus and blood are present in acute gastroenteritis, but diarrhea is the leading symptom. Rectal prolapse can be differentiated by projecting mucosa that can be felt in continuity with the perianal skin, whereas in intussusception the finger may pass indefinitely into the depth of the sulcus. Treatment[ edit ] The condition is not usually immediately life-threatening.