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Intussusception, Pediatric

Alejandro V. Garcia, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

The invagination or telescoping of a proximal portion of bowel (the intussusceptum) into a distal segment of bowel (the intussuscipiens) which can result in ischemia and obstruction 

EPIDEMIOLOGY

DIAGNOSIS

HISTORY

  • Common to have recent history (prodrome) of a viral upper respiratory illness or gastroenteritis

  • Classic triad

    • Involves the acute onset of severe intermittent (colicky) abdominal pain (...

TREATMENT

GENERAL MEASURES

  • Prompt recognition and reduction is imperative.

  • Spontaneous reduction occurs in 5–20%.

  • IV insertion, fluid therapy, and surgical consultation should be obtained once diagnosis ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Some centers may discharge home after emergency department (ED) observation versus admission. 

PATIENT EDUCATION

  • Parents should be counseled that a 10% recurrence r...

ADDITIONAL READING

  • Daneman A, Navarro O. Intussusception. Part 1: a review of diagnostic approaches. Pediatr Radiol.  2003;33(2):79–85. [View Abstract on OvidInsights]

  • Daneman A, Navarro O. Intuss...

CODES

ICD9

560.0 Intussusception 

ICD10

K56.1 Intussusception 

SNOMED

  • 49723003 Intussusception of intestine (disorder)

  • 17186003 Ileocolic intussusception

FAQ

  • Q: Can my child have a recurrent intussusception?

  • A: Yes, if your child has had a nonsurgical reduction via air (or barium) enema. However, the risk is considered low (<10%). If the lead point h...

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