56 Intussusception Fig. 56.1A This figure demonstrates a very subtle soft tissue mass protruding into the bowel lumen – this abnormality is projected over the left side of the pelvis. This proved to be an intussusception. Background This condition is caused by telescoping of one section of bowel (the intussusceptum) into an adjacent section (the intussuscipiens). This commonly occurs in the terminal ileum. There can be a pathological lead point (commoner in adults) or it can occur spontaneously (commoner in children, 90% of cases). The condition usually occurs in infants aged 3–12 months although it can occur later than this and is commoner in boys. Clinical features Symptoms • Abdominal pain. The pain may be intermittent and lead to the legs being drawn up. • Redcurrant jelly stools may occur. • Vomiting. Signs • Abdominal mass Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related posts: Permanent pacemakers Gastric outlet obstruction Caecal volvulus Small bowel obstruction Pleural effusion Slipped upper femoral epiphysis Stay updated, free articles. Join our Telegram channel Join Tags: On-Call X-Rays Made Easy Aug 20, 2016 | Posted by admin in ULTRASONOGRAPHY | Comments Off on Intussusception Full access? Get Clinical Tree
56 Intussusception Fig. 56.1A This figure demonstrates a very subtle soft tissue mass protruding into the bowel lumen – this abnormality is projected over the left side of the pelvis. This proved to be an intussusception. Background This condition is caused by telescoping of one section of bowel (the intussusceptum) into an adjacent section (the intussuscipiens). This commonly occurs in the terminal ileum. There can be a pathological lead point (commoner in adults) or it can occur spontaneously (commoner in children, 90% of cases). The condition usually occurs in infants aged 3–12 months although it can occur later than this and is commoner in boys. Clinical features Symptoms • Abdominal pain. The pain may be intermittent and lead to the legs being drawn up. • Redcurrant jelly stools may occur. • Vomiting. Signs • Abdominal mass Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related posts: Permanent pacemakers Gastric outlet obstruction Caecal volvulus Small bowel obstruction Pleural effusion Slipped upper femoral epiphysis Stay updated, free articles. Join our Telegram channel Join Tags: On-Call X-Rays Made Easy Aug 20, 2016 | Posted by admin in ULTRASONOGRAPHY | Comments Off on Intussusception Full access? Get Clinical Tree
