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Home > West Medicine > Surgery > General Surgery
K56.100

Intussusception

普外科

Common symptoms

休克、急腹症、肠道功能紊乱、剧痛、腹膜刺激征、便血、上腹部疼痛、腹痛、便秘伴剧烈腹痛、血运障碍

The pathology of disease

Intussusception is telescoping of one bowel segment into adjacent (ileocolic common in children; lead point in adults), presenting with intermittent severe colicky pain, vomiting, currant-jelly stool, and palpable mass. Treatment: pneumatic/contrast enema reduction in children (ultrasound-guided); NPO/IV fluids; surgical reduction/resection if enema fails/ischemic/lead point (polyp/Mekel); investigate lead point in adults; antibiotics if perforation; monitor for recurrence/ischemia; follow-up.

Common Symptoms

Intermittent colicky pain; vomiting; currant-jelly stool; palpable mass

Causes and Pathogenesis

Telescoping causes obstruction and possible ischemia.

Treatment

Enema reduction in children; surgery if failed/lead point/ischemic

Preventive Measures

Early recognition; treat lead points.

Department to Visit

It is recommended to visit the Pediatric/Gastrointestinal-surgery/Emergency department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.