Signs of Intussusception (Telescoping intestine)

Intussusception (Telescoping Intestine)

Description

A telescoping of the bowel into itself that can cause a bowel obstruction and decreased blood supply to the portion of the intestine involved. It can affect all ages and both sexes, but is more common in babies 5-10 months of age. Urgent treatment is needed for this disorder to prevent an intestinal perforation, peritonitis and death. The cause of this disorder is unknown.

Symptoms

Bloody mucus-like bowel movement ("currant jelly" stool), fever, low blood pressure, stool mixed with blood and mucus, vomiting, confusion, episodic abdominal pain.

Tests

A history and physical exam will be performed. An abdominal X-ray, air or contrast enema, or abdominal CT scan can all make the diagnosis. The air or contrast enema is considered the diagnostic tool of choice in children.

Standard Workup

CBC
Chem 12
Lipase
X-Ray
CT Scan

Treatment

Intussusception in adults can many times be observed. Children require reduction of the telescoping bowel. This can frequently be performed by a radiologist with an air or contrast enema. This procedure carries a risk of bowel perforation. If the enema is unsuccessful surgery will be required to relieve the intussusception, and remove any permanently damaged intestine. Intravenous fluids will be given and the stomach will be decompressed with a naso-gastric tube.