Intussusception (cont.)
David Perlstein, MD, MBA, FAAP
Dr. Perlstein received his Medical Degree from the University of Cincinnati and then completed his internship and residency in pediatrics at The New York Hospital, Cornell medical Center in New York City. After serving an additional year as Chief Pediatric Resident, he worked as a private practitioner and then was appointed Director of Ambulatory Pediatrics at St. Barnabas Hospital in the Bronx.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- Intussusception facts
- What is intussusception?
- What happens during intussusception?
- Is intussusception an urgent problem?
- Who is at greatest risk for intussusception
- What causes intussusception?
- Why is rapid diagnosis of intussusception important?
- What are the symptoms of intussusception?
- How is intussusception diagnosed?
- Is it necessary to operate when there is intussusception?
- What is the prognosis (outlook) for patients with intussusception?
- Find a local Gastroenterologist in your town
What are the symptoms of intussusception?
Most describe the symptoms of intussusception as a triad of colicky abdominal pain, bilious vomiting, and "currant jelly" stool.
The primary symptom of intussusception is described as intermittent crampy abdominal pain. This is often called "colicky pain." Intussusception in an infant usually starts with the infant suddenly crying very loudly, as if in great pain. The infant intermittently draws the knees up to the chest while crying. This reaction is caused by the abdominal pain which recurs frequently and increases in intensity and duration. These intermittent painful episodes are believed to be caused by the telescoping of the bowel and resultant compression of blood vessels and nerves.
In addition to the abdominal pain, most children will also have episodes of vomiting associated with the pain. This vomiting is usually not associated with eating and may be bilious (yellow-green colored)
Some affected individuals who do not seek early medical attention may pass "currant jelly stool". This is stool that is bloody and mucousy and may be a sign that the affected bowel has lost its blood supply and that the bowel may be necrotic (non-viable).
As the condition progresses, the infant becomes may become weaker and develop additional symptoms, including those associated with shock, such as paleness, lethargy, and even fever, though these are not an integral part of the associated "triad."
Thankfully, most cases are diagnosed early, and some studies describe the development of the bloody stools as occurring in only one-third of the cases diagnosed.
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