1. INTUSSUSCEPTION
DR.RANDA ALGHANEM

2. LEARNIIG OBJECTIVE:
DEFINITION
ETIOLOGY FACTORS
CLASSIFICATION
CLINICAL PRESENTATION
DIAGNOSIS
MANEGEMENT

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

4. ETIOLOGY FACTORS:
MECLEL`S DIVERTICULUM
POLYP
DUPLICATION
IDIOPATHIC

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

6. 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.

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

8. USG:

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

10. AIR ENEMA

11. 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.

12. THANK YOU