Pediatrics

Intussusception

Intussusception

A condition where a portion of the intestine telescopes into another, leading to obstruction and potential ischemia.

Classic Presentation

  • Sudden onset of severe, intermittent abdominal pain
  • Drawing up of knees to chest
  • Stool mixed with blood and mucus ('currant jelly' stool)
  • Palpable sausage-shaped abdominal mass

Treatment

  • Air or saline enema for reduction
  • Monitor for signs of bowel perforation (fever, peritonitis)
  • Prepare for surgical intervention if enema is unsuccessful

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