INTUSSUSCEPTION

This occurs when a piece of, usually small, bowel invaginates into itself. This invagination may cause strangulation that leads to gangrene formation in the affected portion of the bowel.

Clinical Features

  • There is onset of acute abdominal pain sometimes associated with red currant jelly stools.
  • Clinical examination reveals a mass of the interssuceptus in the right hypochondrium.

Investigation

  • Plain abdominal radiograph may show evidence of obstruction but misses still in identifying intussusceptions in early disease.
  • Ultrasound gives better detection rates.
  • Stabilize the patient adequately.
  • Enema in the radiology unit may be attempted. Ensure that bowel gangrene has not set in.
  • Definitive management.