DR.RANDA ALGHANEM

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

 A PART OF THE INTESTINE INVAGINATE INTO OTHER SECTION OF INTESTINE

 MECKEL`S DIVERTICULUM  POLYP  DUPLICATION  IDIOPATHIC

 ILIO-ILIAL 5 %.  ILIO-COLIC 85%  ILIO-ILIO-COLIC 5 %  COLI-COLIC 2%  OTHERS

 FROM 3 – 12 MONTHS OF AGE  MALE : FEMALE 2 : 1.  PERIODIC ABDOMINAL PAIN, PULLING LEGS TO CHEST AREA  ( INTERMETTENT – MODERATE TO SEVER ABDOMINAL PAIN).  VOMITING±BILE 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.

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

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

 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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