INTUSSUSCEPTION DR.RANDA ALGHANEM.

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Presentation transcript:

INTUSSUSCEPTION DR.RANDA ALGHANEM

LEARNIIG OBJECTIVE: DEFINITION ETIOLOGY FACTORS CLASSIFICATION CLINICAL PRESENTATION DIAGNOSIS MANEGEMENT

DEFINITION: APART OF THE INTESTINE INVAGINATE INTO OTHER SECTION OF INTESTINE

ETIOLOGY FACTORS: MECLEL`S DIVERTICULUM POLYP DUPLICATION IDIOPATHIC

CLASSIFICATION: ILIO-ILIAL 5 %. ILIO-COLIC 85% ILIO-ILIO-COLIC 5 % COLI-COLIC 2% OTHERS

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). 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.

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

USG:

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

AIR ENEMA

BY EITHER BARIUM OR WATER SOLUBLE CONTRAST ENEMA. 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.

THANK YOU