Intussusception: A Serious Intestinal Condition Commonly Seen in Children

An intussusception is a pediatric emergency in infants- where one segment of the intestine folds inside another part, causing a blockage of the bowels. Hence, it is an intestinal obstruction in infants and is described as a telescoping intestine condition – since parts of the bowel seem to fit into each other, when visualised using imaging systems. Since even blood is not able to pass freely in the bowels, it can slow down digestion and the passage of food through the gut, leading to painful symptoms and inflammation in children. If your child has severe abdominal pain, then call a doctor at KIMS Sunshine Hospital immediately.
Causes and Symptoms of Intussusception in Children
Intussusception can occur both in adults and children, though it is more frequent in the latter. It is however a medical emergency for anyone at all. A specific reason as to why some infants or children develop his condition is not known- but research has shown that a severe bout of stomach flu can lead to this condition in young kids, or congenital defects like a diverticulum or polyps.
In adults, intussusception can occur due to masses or growths which may be benign or cancerous in the colon, or if they suffer from Crohn’s disease, IBD, endometriosis, etc. among other possibilities.
Symptoms of this condition include-
- Severe abdominal pain in kids and adults, which may be episodic in nature- may be bad for a few minutes and then you may feel better for a while, before the pain picks up again.
- Currant jelly stools- When there is both blood and mucus in the stool.
- Nausea and vomiting can be common.
- Children may have a swollen belly.
Diagnosis and Treatment of Intussusception
An ultrasound in children and a CT scan for adults are sure ways to diagnose this condition. Ultrasounds are incredibly accurate in finding an intussusception. A contrast or air enema may also be done at times – air or fluid laced with barium may also be given- in those instances, doctors can visualise the intestine lengthen itself out. This by itself can also be used as an air enema treatment.
If this does not work, then doctors may recommend pediatric intestinal surgery in some cases- where it is laparoscopically done. It is minimally invasive, doctors make 2-3 tiny incisions in the abdomen, so that they can access the telescoped intestine and reposition it. If that is not possible, then they may remove the telescoped part and suture the remaining parts of the intestine together. Your child will be anesthetised for this procedure.
Conclusion
When children are diagnosed and treated early, their prognosis is excellent. In some children, another intussusception may recur within a few weeks or months. You cannot prevent tunnelling of the intestine, so the only thing you can do is to be watchful of symptoms and take your child to the doctor if you notice anything suspicious.
After treatment, make sure your child has no infection or fever or symptoms which may signal a recurrence. Call us if you have any concerns. Schedule an appointment today!