Invagination (telescoping) of a portion of intestine into itself
May involve any part of small intestine or ileocolic (95%) or colocolic segment
System(s) affected: gastrointestinal ...
History of intermittent colicky abdominal pain
Episodes lasting 5 to 10 minutes
Often completely asymptomatic between episodes
Most have vomiting.
History of bloody stool (“currant jell...
IV fluid resuscitation
Foley catheter (if severely dehydrated)
Nasogastric tube
Antibiotics if necrotic bowel present
Surgical consultation (3)[A]
Nonoperative care (1),(3)[A]
Hy...
Adekunle-Ojo A, Craig A, Ma L, et al. Intussusception: postreduction fasting is not necessary to prevent complications and recurrences in the emergency department observation unit. ...
49723003 Intussusception of intestine (disorder)
17186003 Ileocolic intussusception
27673007 Intussusception of colon
The classic presentation for intussusception is intermittent infantile abdominal pain, vomiting, and currant jelly stools with a palpable right lower quadrant mass following an upper r...
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FIG. 2.64. Colonic intussusception. Axial T2-weighted image demonstrates layers of sigmoid colonic intussusception with outer colon wall (<italic>arrow</bold>), pericolonic fat (<italic>arrowhead</bold>), and inner colon wall (<italic>thin arrow</bold>).
FIG. 2.64. Colonic intussusception. Axial T2-weighted image demonstrates layers of sigmoid colonic intussusception with outer colon wall (...
FIG. 8.11. Intussusception. A: Currant jelly stool characteristic of intussusception. B: Ileocolic intussusception. Barium enema shows the intussusception as the filing defect within the hepatic flexure surrounded by spiral mucosal folds. Significant distended small bowel represents distal small bowel obstruction.
FIG. 8.11. Intussusception. A: Currant jelly stool characteristic of intussusception. B: Ileocolic intussusception. Barium enema shows the...
<bold><italic>Figure 15-5</bold> Pathologic intussusception.</bold> The proximal (swallowed) segment is to the right; the distal (swallowing) segment is to the left. The discolored segment is hemorrhagic infarction.
<bold><italic>Figure 15-5</bold> Pathologic intussusception.</bold> The proximal (swallowed) segment is to the rig...
<bold>Fig GI 36-15 Intussusception.</bold> Obstruction of the colon at the hepatic flexure. Note the characteristic coiled-spring appearance.
<bold>Fig GI 36-15 Intussusception.</bold> Obstruction of the colon at the hepatic flexure. Note the characteristic coiled-spr...
FIGURE 12-8. Intestinal obstruction. (A) Intussusception. (B) Volvulus, showing counterclockwise twist.
Intusseption. The distal ileal segment of bowel has invaginated into the cecum. A polyp serves as lead point.