Clinical manifestations of intussusception in children

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1.Clinical manifestations of intussusception in children

Early symptoms

1.Paroxysmal abdominal pain

2.Separated by periods of apathy

3.Poor feeding and vomiting

Late symptoms

1.Worsening vomiting,becoming bilious

2.Abdominal distension

3.Heme positive stools

4.Followed by “Raspberry Jelly”stool

5.Dehydration(progressive)

Unusual symptoms

1.Diarrhea

2. Additional and special methods for diagnosing intussusception in children

Lab test 

Perform laboratory studies as needed for the febrile, dehydrated, or unstable patients with intussusception.

Imaging studies

ü If intussusception is strongly suspected, perform a contrast enema without delay. This is contraindicated in patients with an obvious surgical abdomen (eg, signs of peritonitis or perforation) and in unstable patients. Image obtained during air contrast enema is shown below.

ü Plain abdominal radiographic findings may be normal early in the disease or may show perforation, typical obstructive pattern, or soft tissue mass of the intussusception on the right side. A paucity of gas in the right upper quadrant may be present.

ü Ultrasonography has been used to diagnose intussusception. A recent study examined the use of ultrasonography as a primary modality to assess ileocolic intussusception. The study reported that the overall sensitivity for detecting intussusception was 97.9% and the specificity was 97.8%. The authors concluded that ultrasonography should be used as a first-line examination for the assessment of possible pediatric intussusception.

3.Complications of intussusception in children

1.Perforation

2.Peritonitis(abdominal pain, abdominal swelling, fever)

3.Shock(skin become pale/grey, weak and rapid pulse, abnormal breathing, anxiety, agitation)

A child who is in shock may be conscious or unconscious. If you suspect your child is in shock, seek emergency medical care right away.

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