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Intussusception

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • 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

Ger...

DIAGNOSIS

HISTORY

  • 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 jelly”...

TREATMENT

GENERAL MEASURES

  • IV fluid resuscitation

  • Foley catheter (if severely dehydrated)

  • Nasogastric tube

  • Antibiotics if necrotic bowel present

  • Surgical consultation (3)[A]

  • Nonoperative care (1,3)[A]

    • Hydros...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Monitor patients who need surgical reduction for postoperative complications. 

Patient Monitoring

Office visit 1 to 2 weeks after discharge 

DIET

Progress diet as tol...

REFERENCES

1
Ito Y, Kusakawa I, Murata Y, et al. Japanese guidelines for the management of intussusception in children, 2011. Pediatr Int.  2012;54(6):948–958. [View Abstract on OvidMedline]
2
Marin...

ADDITIONAL READING

  • 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. ...

SEE ALSO

Cystic Fibrosis; Henoch-Schönlein Purpura; Intestinal Obstruction 

CODES

ICD10

K56.1 Intussusception 

ICD9

560.0 Intussusception 

SNOMED

  • 49723003 Intussusception of intestine (disorder)

  • 17186003 Ileocolic intussusception

  • 27673007 Intussusception of colon

CLINICAL PEARLS

  • 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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