INTUSSUSCEPTION

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INTUSSUSCEPTION

• DR.RANDA ALGHANEM

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LEARNIIG OBJECTIVE

• DEFINITION
• ETIOLOGY FACTORS
• CLASSIFICATION
• CLINICAL PRESENTATION
• DIAGNOSIS
• MANEGEMENT

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DEFINITION

• APART OF THE INTESTINE INVAGINATE INTO OTHER
  SECTION OF INTESTINE

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ETIOLOGY FACTORS

• MECLELS DIVERTICULUM
• POLYP
• DUPLICATION
• IDIOPATHIC

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CLASSIFICATION

• ILIO-ILIAL 5 .
• ILIO-COLIC 85
• ILIO-ILIO-COLIC 5
• COLI-COLIC 2
• OTHERS

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CLINICAL PRESENTATION( SIGN AND SYMPTOMS)

• FROM 3 12 MONTHS OF AGE
• MALE FEMALE 2 1.
• PERIODIC ABDOMINAL PAIN , PULLING LEGS TO CHEST
  AREA
• ( INTERMETTENT MODERATE TO SEVER ABDOMINAL
  PAIN).
• VOMITINGBILE STAINED.
• RECTAL BLEEDING( RED CURRENT JELLY).
• O/E MAY REVEAL (SUSAGE-SHAPED) MASS FELT ON
  PALPATION OF THE ABDOMIN.
• ITUSSUSCEPTION? NECROSIS ? THEN PERFORATION ?
  SEPSIS WITH FEVER.

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DIAGNOSIS

• BASED ON HISTORY AND EXAMINATION
• USG
• X-RAY ( FORINTESTINAL OBSTRUCTION)
• AIR ENEMA( FOR DIAGNOSIS AND FOR TRATEMENT).

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USG
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X-RAY
X-ray of a pediatric patient with intussusception
at air enema reduction encountered at mid
transverse colon (arrow) 
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AIR ENEMA
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MANAGEMENT

• BY EITHER BARIUM OR WATER SOLUBLE CONTRAST ENEMA.
• REDUCE IN 80 OF PATIENT.
• 5 RECURE IN 24 HRS
• SURGERY MAY BE IN FEW CASES.

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• THANK YOU