Paediatrics Q12

Intussusception

Presentation

Characteristic Triad:

1. Abdominal pain

2. Currant jelly-like blood in stool

3. Sausage-shaped abdominal mass (often palpable in the right upper quadrant)

Other Symptoms:

1. Persistent crying

2. Drawing up of legs

3. Vomiting may be present if condition is severe.

Diagnosis

. Abdominal Ultrasound: May display a doughnut or target sign, indicative of intussusception.

. Bowel Enema: The presence of a “claw sign” could be a diagnostic clue.

Treatment

i. Air enema reduction

ii. Surgical laparotomy if needed.

 

Further Reading: Intussusception

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