Intussusception
Hello: I would like to ask if intussusception is considered a type of bowel obstruction?
Melodi, 20~29 year old female. Ask Date: 2003/04/14
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: Intussusception is considered a type of intestinal obstruction.
After intussusception occurs, it can lead to the inability to pass stool, and the affected segment of the intestine may become necrotic due to compromised blood flow.
If not treated promptly with surgery, it can worsen into peritonitis and even pose a life-threatening risk.
Best wishes for health from Dr.
Yang Pei-Chen, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2003/04/14
More Info
Intussusception is indeed a type of bowel obstruction, and it occurs when a segment of the intestine telescopes into an adjacent segment. This condition can lead to a blockage of the intestinal lumen, which can result in a variety of complications, including ischemia (reduced blood flow), perforation, and necrosis (tissue death) if not treated promptly.
In adults, intussusception is less common than in children and is often associated with underlying conditions such as tumors, adhesions, or other structural abnormalities. In children, it is frequently idiopathic, meaning that the exact cause is often unknown. The classic presentation of intussusception includes abdominal pain, vomiting, and the presence of a "currant jelly" stool, which is a mix of blood and mucus.
Diagnosis of intussusception typically involves imaging studies. An abdominal ultrasound is often the first-line investigation in children, while a CT scan is more commonly used in adults. These imaging modalities can reveal the characteristic "target sign" or "doughnut sign," indicating the presence of intussusception.
Treatment for intussusception usually involves surgical intervention, especially if there are signs of bowel ischemia or perforation. In some cases, non-surgical methods such as an air contrast enema can be used to reduce the intussusception, particularly in children. However, if the condition is not resolved through these means, surgery may be necessary to remove the affected segment of the bowel.
In summary, intussusception is a serious condition that qualifies as a type of bowel obstruction. It requires prompt diagnosis and treatment to prevent severe complications. If you suspect you or someone else may be experiencing symptoms of intussusception, it is crucial to seek medical attention immediately.
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