Intususseption

Intususseption


Intususseption

  • is a serious condition in which part of the intestine slides into an adjacent part of the intestine. This “telescoping” often blocks food or fluid from passing through.
  • Intussusception also cuts off the blood supply to the part of the intestine that’s affected, which can lead to a tear in the bowel (perforation), infection and death of bowel tissue. 
  • Intussusception is the most common cause of intestinal obstruction in children younger than 3. The cause of most cases of intussusception in children is unknown. Though rare in adults, most cases of adult intussusception are the result of an underlying medical condition, such as a tumor.

Exam Question

  • Claw Sign” is seen in Intussusception.
  • A 10 month old infants present with acute intestinal obstruction. Contrast enema X-ray shows the intussusceptions. Peyer’s Patch Hypertrophy is the most likely cause.
  • A 15 year old child presents in the OPD with acute abdominal pain. He also gives history of blood and mucous in the stool. On P/A examination a mass is palpable. The MOST probable diagnosis in this patient is Intussusception..
  • Recurrent obstruction, mass per abdomen and diarrhoea in a child is suggestive of which of  Intussusception..
  • Recurrent intussusception occurs in about: 5-10%.
  • Vaccination causing intussusception is Rota Virus.
  • Commonest cause of intestinal obstruction in children is Intussusception..
  • A 10 month old infants presents with acute intestinal obstruction. Contrast enema X-ray shows the intussusceptions, likely cause is Peyer’s Patch Hypertrophy.
  • Meckel’s Diverticulum can be a leading point of intussusception.
  • Most common type of Intussusception is -Deo Colic.
  • Intussuscepiens is the outer layer.
  • Features of intussusception are- Target sign.
  • A child was operated for intussusceptions. He underwent resection of the affected ileal segment which revealed a tumor. The most likely tumor would be Villous Adenoma.
  • Recurrent pain abdomen with intestinal obstruction and mass passes per rectum goes in favour of Intussusception.
  • Commonest cause of intussusception is Hypertrophy of submucosa peyer’s patches.
  • A 12 month old male child suddenly draws up his legs and screams with pain. This is repeated periodically throughout the night interspersed with periods of quiet sleep. When seen after 12 hours the child looks pale, has just vomited andpassed thin blood-stained stool; there is a mass around umbilicus. Intussusception is the most likely diagnosis.
  • Signe-de-Dance is -Empty right iliac fossa in intussusception.
  • Coiled spring appearance on barium enema is seen in intussusception.
  • A 6 months old child woke up in night, crying with abdominal pain, which got relieved on passing red stool. Intussusception is the most likely diagnosis.
Don’t Forget to Solve all the previous Year Question asked on Intususseption

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