GASTRO/GENSURG
INTUSSUSCEPTION
Prompt
ResponseIntussusception
Dilated large bowel (transverse colon) with telescoping segment
Small bowel gas present centrally
There is a large soft tissue opacity in the right upper quadrant which appears to bulge into what is presumably the transverse colon. - Radiopaedia - same XR
- US from radiopaedia Target sign
Dilated large bowel (transverse colon) with telescoping segment
Small bowel gas present centrally
There is a large soft tissue opacity in the right upper quadrant which appears to bulge into what is presumably the transverse colon. - Radiopaedia - same XR
- US from radiopaedia Target signPromptED management of intussusception
ResponseAnalgesia - IV opioid + dose (Will be kids dosing)
IV fluids bolus 20 mL/kg aiming pulse <120, CRT 2-3s
Urgent referral to paediatric surgical centre
IV fluids bolus 20 mL/kg aiming pulse <120, CRT 2-3s
Urgent referral to paediatric surgical centre
PromptSurgical/Definitive management for intussusception
ResponseGas insufflation - PR - radiologic procedure, first line for uncomplicated cases
Surgical correction - Failure of gas reduction, complicated cases eg: perforation
Surgical correction - Failure of gas reduction, complicated cases eg: perforation
PromptComplications of intussusception
ResponseBowel obstruction
Perforation
Intestinal ischaemia
Haemorrhage/GI bleeding
Perforation
Intestinal ischaemia
Haemorrhage/GI bleeding