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Intussusseption

Posted in Gastroenterology on June 17, 2014 by m.khodeer

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Intussusseption

  • Ileocolic>ileoileocolic>ileoileal>colocolic kids Ileoileal>ileocolic adults
  • Most children no lead point, in contrast to most adults
  • Presentation: crampy abd pain, N/V, currant jelly stool
  • Imaging: intraluminal covex filling defect, coiled spring on barium study, target sign US and CT
  • TX: air vs. H2O soluble enema reduction, rule of 3’s recheck post x24h, risk of recurrence
  • Contra: peritonitis, perforation
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