What department should I go to for infant intussusception?

Written by Hu Qi Feng

Pediatrics

Updated on September 01, 2024

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Intussusception often occurs in infants and young children, mainly presenting with vomiting, abdominal pain, and bloody stools. The first department usually visited is the emergency pediatrics. If intussusception is confirmed, treatment may involve surgery or non-surgical reduction. Therefore, after confirming intussusception, the patient needs to be transferred to pediatric surgery or general surgery for inpatient treatment.

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Written by He Zong Quan

General Surgery

48sec

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Can intussusception pass gas?

Intussusception should be considered when the patient shows symptoms of intestinal obstruction, namely pain, vomiting, distension, and paralysis, along with cessation of gas and stool passing through the anus. In the early stages of intussusception, there may be a small amount of gas and stool passage, but the presence of intussusception should not be overlooked, and imaging studies can be performed for confirmation. If there is a fluid level in the intestinal lumen and clear signs of intestinal obstruction, and if the patient can feel a distinct mass in the abdomen, which on imaging shows concentric ring-like changes, intussusception should be considered. Once diagnosed, timely treatment is essential, thus treatment should not be delayed until there is an absence of stool and gas passage.

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Written by Hu Qi Feng

Pediatrics

49sec

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How many days will pneumatic reduction for intussusception take to recover?

The indications of successful reduction of intussusception by air enema treatment are as follows: First, after the removal of the tube, a large amount of foul-smelling mucousy bloody stool and yellow feces are expelled. Second, the patient quickly falls asleep, no longer cries, and ceases to vomit. Third, the abdomen is soft and flat, with no palpable mass as before. Fourth, after the enema reduction, 0.5-1 grams of activated charcoal is administered orally; if charcoal residue is expelled within six to eight hours, it indicates a successful reduction. However, even after successful reduction, it is necessary to remain under observation in the hospital for two to three days to monitor for any recurrence of the intussusception.

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Written by Quan Xiang Mei

Pediatrics

55sec

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Does intussusception cause diarrhea?

Intussusception is a common surgical condition in infants and young children, characterized primarily by symptoms such as abdominal pain, crying, abdominal distension, the passage of jelly-like stools, and vomiting. Some children may also experience diarrhea and frequent passage of jelly-like stools, where the symptoms of intussusception may not be particularly noticeable, leading parents to possibly overlook them. Therefore, if a child has diarrhea accompanied by jelly-like stools, it is crucial to take the child to the hospital for a consultation and an ultrasound to confirm whether it is caused by intussusception. If left untreated for a long time, it can lead to ischemic necrosis of the intestinal mucosa, necessitating surgical treatment.

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Written by Hu Qi Feng

Pediatrics

41sec

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Does intussusception require a CT scan?

Intussusception is commonly diagnosed through routine abdominal ultrasound examinations, which have a positive rate of over 90%. In the ultrasound, the transverse section of the intussusception can show concentric circles or target ring-shaped mass images, and the longitudinal section may reveal the sleeve sign. Additionally, a barium enema can be employed, along with X-ray imaging. Under X-ray, the lead point of intussusception appears as a mass shadow, and air enema reduction treatment can be performed concurrently. Generally, CT is not used as a routine diagnostic tool.

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Written by Yan Xin Liang

Pediatrics

1min 3sec

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Early symptoms of intussusception in children

Intussusception in children refers to a segment of the intestine telescoping into the adjoining lumen, causing an obstruction to the passage of intestinal contents. Intussusception accounts for 15%-20% of intestinal obstructions and can be primary or secondary. Generally, primary intussusception is more common in infants and young children. Early symptoms may include bloating, abdominal pain, vomiting, possibly accompanied by bloody stools, and a palpable mass in the abdomen. Moreover, intussusception can occur in multiple locations, such as jejunum into jejunum, jejunum into ileum, ileum into ileum, ileum into cecum, ileum into colon, colon into colon, etc. Among these, ileo-cecal intussusception is the most common, while small intestine into small intestine and colon into colon are relatively rare.