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Intussusception (Bowel Telescoping)

The telescoping of bowel into itself is a cause of acute abdomen in children.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Çocuk Sağlığı ve Hastalıkları department. Book Appointment →

What is Intussusception (Bowel Telescoping)?

Intussusception is the most common acute surgical emergency in children aged 3-36 months, most often in the ileocolic region. Its incidence is around 1-4/1000 live births. 90% of cases are idiopathic; in a small portion there is a 'lead point' such as Meckel's diverticulum, polyp, lymphoma.

Mesenteric lymph node hypertrophy associated with viral infections such as adenovirus and rotavirus may be a trigger. It is more common in healthy, well-nourished male children.

The classic triad (intermittent crying, vomiting, 'currant jelly' stool) is found in only 15% of cases. Ultrasound is diagnostic with 'target sign'. Hydrostatic/pneumatic reduction or surgery is used in treatment.

Symptoms

Sudden onset severe colicky abdominal pain
Intermittent crying episodes
Bilious vomiting
'Currant jelly' stool (late finding)
Sausage-shaped mass in right lower quadrant
Lethargy (sole symptom in some cases)

Risk Factors

Male gender (2:1)
3-36 months age
Viral infection (adeno, rota)
Rotavirus vaccine (slight increase)
Meckel's diverticulum
Lymphoma and polyp

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden onset severe abdominal pain
  • Bilious vomiting
  • Bloody stool (currant jelly)
  • Lethargy and pallor
  • Mass palpation in abdomen

Treatment Methods

01
Quick diagnosis: ultrasound (target sign)
02
Hydrostatic reduction (barium, saline)
03
Pneumatic reduction (air)
04
Surgery: radiological failure or perforation
05
Manual reduction or bowel resection
06
Recurrence monitoring (first 24-48 hours)

Which Department to Visit?

You can visit our Çocuk Sağlığı ve Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Çocuk Sağlığı ve Hastalıkları Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.