Complications
Intussusception is not usually immediately life-threatening. It can be treated with either a water-soluble contrast enema or an air-contrast enema, which both confirms the diagnosis of an intussusception, and in most cases successfully reduces it. An enema is done by placing a small tube into the rectum.
Symptoms
These tests may include:
- Abdominal X-ray: This diagnostic test may show the intestinal obstruction. ...
- Ultrasound: This radiologic test of choice uses sound waves to create pictures of the inside of the body. ...
- Air or contrast enema: This procedure can be diagnostic, and in some cases serve as the treatment for intussusception. ...
Causes
When symptoms of adult intussusception are present, they may include abdominal pain as well as nausea and vomiting. These symptoms are typically acute and may come and go. This can lead some people to go weeks before seeking medical attention.
What is the prognosis of intussusception?
intussusception in children. A polyp, tumor, or scar tissue in the intestine may trigger intussusception in adults. A digestive disorder, such as Crohn’s disease, may also lead to intussusception. Weight loss surgery or other procedures on the intestine may cause intussusception, too.
How is an intussusception reduced?
Does intussusception come and go?
What causes intussusception in adults?
How do you stop intussusception?
Treatment options for intussusception may include:A water soluble contrast or air enema. This is both a diagnostic procedure and a treatment. ... Surgery. If the intestine is torn, if an enema is unsuccessful in correcting the problem or if a lead point is the cause, surgery is necessary.
What is the most common cause of intussusception?
The cause of most cases of intussusception in children is unknown. Though intussusception is rare in adults, most cases of adult intussusception are the result of an underlying medical condition, such as a tumor. In children, the intestines can usually be pushed back into position with a minor procedure.
What causes intussusception babies?
Most of the time, doctors don't know what causes intussusception. In some cases, it might follow a recent attack of gastroenteritis (or "stomach flu"). It also can follow a cold or the flu. Bacterial or viral gastrointestinal infections can make the infection-fighting lymph tissue that lines the intestine swell.
How likely is intussusception to happen again?
Background: Intussusception is a common abdominal emergency in infancy and childhood, and the recurrence rate is reported to be up to 20%.
Can intussusception resolve itself?
Sometimes it goes away on its own. In some cases, surgery may be needed. If not treated, intussusception can be life-threatening. Intussusception can happen again, especially if it's not treated with surgery the first time.
What does intussusception poop look like?
Vomiting may also occur with intussusception, and it usually starts soon after the pain begins. Your child may pass a normal stool, but the next stool may look bloody. A red, mucus, or jelly-like stool is usually seen with intussusception.
Is intussusception genetic?
Intussusception is one of the common causes of intestinal obstruction in early childhood. Although a genetic predis- position has been suggested in some cases, its etiology is considered to be incidental, and it has not been traditionally regarded as having any hereditary basis.
What viruses cause intussusception?
Adenovirus, in particular type C, has been consistently associated with intussusception in infants and young children [8–15]. Enterovirus, norovirus, and human herpesvirus 6 (HHV-6) have been shown to have statistically significant relationships with intussusception in some studies.
Can a baby sleep with intussusception?
These contractions of the intestines cause the child to experience very severe, cramp-like abdominal pains. When the bowel relaxes between contractions, the pain goes away, and the child will typically be very restful, and sometimes even sleepy or lethargic.
What is the most common complication of intussusception?
What are the complications of intussusception?intestinal obstruction.dehydration link.lack of blood flow to the blocked part of the intestine and death of the blood-starved tissues.a perforation, or hole, in the wall of the intestine.peritonitis, an infection of the lining of the abdominal cavity.More items...
What can I eat with intussusception?
Give your child a variety of healthy foods. This includes fruits, vegetables, whole-grain breads, low-fat dairy products, beans, lean meats, and fish.
Can you have intussusception more than once?
Previous studies have noted that the rate of recurrence of intussusception ranges from 8% to 15%,8 9 which is a little lower than the current results. A possible reason for this difference is the high rate of surgical reduction in their studies. Daneman et al reported 69 recurrent intussusception cases over 17 years.
What is the most common site of intussusception?
About 90% of the intussusceptions in adults occur in the small or large bowel, while the remaining 10% involve the stomach or a surgically made stoma. Usually the most common site is the small bowel.
What is the most common complication of intussusception?
What are the complications of intussusception?intestinal obstruction.dehydration link.lack of blood flow to the blocked part of the intestine and death of the blood-starved tissues.a perforation, or hole, in the wall of the intestine.peritonitis, an infection of the lining of the abdominal cavity.More items...
What causes intussusception in adults?
A polyp, tumor, or scar tissue in the intestine may trigger intussusception in adults. A digestive disorder, such as Crohn's disease, may also lead to intussusception. Weight loss surgery or other procedures on the intestine may cause intussusception, too.
How quickly does intussusception progress?
It could last for 15 to 20 minutes. It often gets worse as time goes on. Other signs your child may have intussusception include: Swelling in the abdomen.
What is the treatment for intussusception?
Treatment options for intussusception may include: A water soluble contrast or air enema. This is both a diagnostic procedure and a treatment.
What is the best way to diagnose intestinal obstruction?
To confirm the diagnosis, your doctor may order: Ultrasound or other abdominal imaging. An ultrasound, X-ray or computerized tomography (CT) scan may reveal intestinal obstruction caused by intussusception. Imaging will typically show a "bull's-eye," representing the intestine coiled within the intestine. Abdominal imaging also can show ...
Can intussusception go away?
Surgery is the main treatment for adults and for people who are acutely ill. In some cases, intussusception may be temporary and go away without treatment.
How to treat intussusception?from my.clevelandclinic.org
How is intussusception treated? 1 Your child is fully sedated by a pediatric anesthesiologist (a specialist in pain relief and sedation in children). 2 If laparoscopy will be performed, small instruments and a camera will be inserted through small incisions (cuts) into the abdominal cavity. 3 Alternatively, a small incision is made on the right side of the abdomen, and the intestine is pushed back into its normal position. 4 If the intussusception can’t be reduced, then the surgeon will remove the involved segment of bowel.
What happens if intussusception can't be reduced?from my.clevelandclinic.org
If the intussusception can’t be reduced, then the surgeon will remove the involved segment of bowel.
How long does intussusception last?from my.clevelandclinic.org
The main symptom of intussusception is severe, crampy abdominal pain alternating with periods of no pain. Painful episodes may last 10 to 15 minutes or longer, followed by periods of 20 to 30 minutes of no pain, after which the pain returns.
Why do children have intussusception?from mayoclinic.org
The cause of most cases of intussusception in children is unknown. Though intussusception is rare in adults, most cases of adult intussusception are the result of an underlying medical condition, such as a tumor. In children, the intestines can usually be pushed back into position with a minor procedure.
What is the best way to diagnose intestinal obstruction?from mayoclinic.org
To confirm the diagnosis, your doctor may order: Ultrasound or other abdominal imaging. An ultrasound, X-ray or computerized tomography (CT) scan may reveal intestinal obstruction caused by intussusception. Imaging will typically show a "bull's-eye," representing the intestine coiled within the intestine. Abdominal imaging also can show ...
What to do if your child is in shock?from mayoclinic.org
A child who is in shock may be conscious or unconscious. If you suspect your child is in shock, seek emergency medical care right away.
When does intussusception occur?from mayoclinic.org
Intussusception occurs most commonly between the ages of three and 36 months , but may appear at any age. It is seen in approximately one in 1,200 children, and more often in boys. Intussusception occurs most frequently in the fall and winter months during viral season, but can happen at any time of the year.
How to treat intussusception?
How is intussusception treated? 1 Your child is fully sedated by a pediatric anesthesiologist (a specialist in pain relief and sedation in children). 2 If laparoscopy will be performed, small instruments and a camera will be inserted through small incisions (cuts) into the abdominal cavity. 3 Alternatively, a small incision is made on the right side of the abdomen, and the intestine is pushed back into its normal position. 4 If the intussusception can’t be reduced, then the surgeon will remove the involved segment of bowel.
What causes intussusception in children?
In some children, it is caused by a condition that the child is born with, such as a polyp or diverticulum.
How long does intussusception last?
The main symptom of intussusception is severe, crampy abdominal pain alternating with periods of no pain. Painful episodes may last 10 to 15 minutes or longer, followed by periods of 20 to 30 minutes of no pain, after which the pain returns.
Where does intussusception occur?
Although intussusception can occur anywhere in the gastrointestinal tract, it usually occurs at the junction of the small and large intestines.
Can an ultrasound show intussusception?
Although intussusception can sometimes be felt as an abdominal mass during a physical examination, ultrasonography is able to identify the mass with 100% accuracy, and is the first radiologic test ordered for patients who are thought to have intussusception.
How do you prevent intussusception?
The goal of any type of enema therapy is to reduce the intussusception by exerting pressure on the apex of the intussusceptum to push it from the pathologic position into the original position. The reduction and perforation rates for a specific type of enema therapy are directly proportional to the pressure applied.
What is the most common cause of intussusception?
Intussusception is the most common cause of intestinal obstruction in children younger than 3 years old. The cause of most cases of intussusception in children is unknown. Though intussusception is rare in adults, most cases of adult intussusception are the result of an underlying medical condition, such as a tumor.
Can intussusception resolve itself?
Sometimes it goes away on its own. In some cases, surgery may be needed. If not treated, intussusception can be life-threatening. Intussusception can happen again, especially if it's not treated with surgery the first time.
What causes recurrent intussusception?
After comparing recurrent and non-recurrent intussusception cases using univariate analysis, it was determined that the factors associated with recurrent intussusception were age (>1 year), duration of symptoms (≤12 hours), the lack of bloody stool, paroxysmal crying or vomiting, the mass location (right abdomen) and ...
What Is It?
Who Gets It?
What Are The Symptoms?
How Long Does It Last?
How Is It Diagnosed?
How Is It Treated?
- Children
The first sign of intussusception in an otherwise healthy infant may be sudden, loud crying caused by abdominal pain. Infants who have abdominal pain may pull their knees to their chests when they cry. The pain of intussusception comes and goes, usually every 15 to 20 minutes at first. Th… - Adults
Because intussusception is rare in adults and symptoms of the disorder often overlap with the symptoms of other disorders, it's more challenging to identify. The most common symptom is abdominal pain that comes and goes. Nausea and vomiting also may occur. People sometimes …