Introduction
Intussusception is a serious and potentially life-threatening condition that occurs when one segment of a child’s intestine telescopes into an adjacent part. This can block the passage of food and cut off the blood supply to the affected portion of the bowel, requiring prompt medical attention.
What Is Intussusception?
Intussusception happens when part of the intestine folds into another section, like how segments of a telescope slide into each other. It most commonly affects infants and toddlers between 6 months and 3 years of age.
Common Symptoms
- Sudden, severe abdominal pain that comes and goes
- Vomiting, which may become bilious (green-colored)
- Bloody or “currant jelly” stools
- Lethargy or listlessness between pain episodes
- Swelling or a sausage-shaped mass in the abdomen
How Is It Diagnosed?
A pediatrician may suspect intussusception based on symptoms and physical examination. Diagnosis is usually confirmed with:
- Ultrasound: the most reliable imaging test
- Abdominal X-rays: to rule out other causes of obstruction
- Air or contrast enema: which may be diagnostic and therapeutic
Treatment Options
- Non-surgical reduction: A contrast or air enema is often used as the first-line treatment. It can unfold the intestine and resolve the issue in many cases.
- Surgery: If non-surgical methods fail or if the child shows signs of intestinal damage, surgery may be required to reduce the intussusception and remove any affected bowel.
When to Seek Help
Prompt medical evaluation is essential. If your child has repeated episodes of abdominal pain, vomiting, or unusual stools, seek emergency care immediately.
Final Note
Intussusception can be alarming, but with early diagnosis and proper treatment, most children recover fully. If you have questions or concerns, don’t hesitate to reach out to your pediatric surgeon for guidance.