Materiały źródłowe

• #1 Intussusception (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/intussusception.html

  Intussusception is a medical emergency that needs care right away. It’s the most common abdominal emergency in children under 2 years old. […] Babies and children with intussusception have intense belly pain that often begins suddenly, makes the child draw the knees up toward the chest, and makes the child cry very loudly. […] Symptoms also can include a swollen belly, vomiting, vomiting up bile, passing stools mixed with blood and mucus, known as currant jelly stool, and grunting due to pain. […] As the illness continues, the child may get weaker, develop a fever, and appear to go into shock. In this life-threatening problem, a lack of blood flow to the body’s organs makes the heart beat quickly and blood pressure drop. […] Intussusception is a medical emergency. Call your doctor or get emergency medical help right away if your child has any symptoms of intussusception, such as repeated crampy belly pain, vomiting, drowsiness, or passing of currant jelly stool. Most children treated within the first 24 hours recover completely with no problems. But untreated intussusception can cause serious problems that get worse quickly. So it’s important to get help right away every second counts.

• #2 Intussusception: What It Is, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/10793-intussusception

  Intussusception requires emergency care but its treatable if you get help fast. […] Babies and children with intussusception experience alternating episodes of severe, crampy abdominal (belly) pain followed by periods with no pain. The pain may last 15 to 20 minutes or longer. […] Eventually, the cycle may exhaust your child, causing them to become lethargic (tired and slow-moving). They may develop a fever and go into shock. […] Other possible symptoms of intussusception include a swollen belly, nausea vomiting (the vomit is sometimes a yellow-green color), and red, jelly-like stools (This is bloody poop from rectal bleeding, sometimes mixed with mucus). […] Often, symptoms arise a few weeks or months after your child has been sick with a virus, so the timing of your child’s symptoms can raise your suspicion of intussusception.

• #3 Intussusception – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/intussusception/symptoms-causes/syc-20351452

  The first sign of intussusception in an otherwise healthy infant may be sudden, loud crying caused by belly pain. Infants who have belly pain may pull their knees to their chests when they cry. […] The pain of intussusception comes and goes, usually every 15 to 20 minutes at first. These painful episodes last longer and happen more often as time passes. […] Intussusception is rare in adults. Also, because symptoms of the disorder often overlap with the symptoms of other disorders, it’s more challenging to identify. The most common symptom is belly pain that comes and goes. Nausea and vomiting also may occur. People sometimes have symptoms for weeks before seeking medical attention. […] Intussusception requires emergency medical care. If you or your child develops the symptoms listed above, seek medical help right away.

• #4 Intussusception – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/intussusception/symptoms-causes/syc-20351452

  The first sign of intussusception in an otherwise healthy infant may be sudden, loud crying caused by belly pain. Infants who have belly pain may pull their knees to their chests when they cry. […] The pain of intussusception comes and goes, usually every 15 to 20 minutes at first. These painful episodes last longer and happen more often as time passes. […] Intussusception is rare in adults. Also, because symptoms of the disorder often overlap with the symptoms of other disorders, it’s more challenging to identify. The most common symptom is belly pain that comes and goes. Nausea and vomiting also may occur. People sometimes have symptoms for weeks before seeking medical attention. […] Intussusception requires emergency medical care. If you or your child develops the symptoms listed above, seek medical help right away.

• #5 Intussusception (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/intussusception.html

  Intussusception is a medical emergency that needs care right away. It’s the most common abdominal emergency in children under 2 years old. […] Babies and children with intussusception have intense belly pain that often begins suddenly, makes the child draw the knees up toward the chest, and makes the child cry very loudly. […] Symptoms also can include a swollen belly, vomiting, vomiting up bile, passing stools mixed with blood and mucus, known as currant jelly stool, and grunting due to pain. […] As the illness continues, the child may get weaker, develop a fever, and appear to go into shock. In this life-threatening problem, a lack of blood flow to the body’s organs makes the heart beat quickly and blood pressure drop. […] Intussusception is a medical emergency. Call your doctor or get emergency medical help right away if your child has any symptoms of intussusception, such as repeated crampy belly pain, vomiting, drowsiness, or passing of currant jelly stool. Most children treated within the first 24 hours recover completely with no problems. But untreated intussusception can cause serious problems that get worse quickly. So it’s important to get help right away every second counts.

• #6 Intussusception: What It Is, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/10793-intussusception

  Intussusception requires emergency care but its treatable if you get help fast. […] Babies and children with intussusception experience alternating episodes of severe, crampy abdominal (belly) pain followed by periods with no pain. The pain may last 15 to 20 minutes or longer. […] Eventually, the cycle may exhaust your child, causing them to become lethargic (tired and slow-moving). They may develop a fever and go into shock. […] Other possible symptoms of intussusception include a swollen belly, nausea vomiting (the vomit is sometimes a yellow-green color), and red, jelly-like stools (This is bloody poop from rectal bleeding, sometimes mixed with mucus). […] Often, symptoms arise a few weeks or months after your child has been sick with a virus, so the timing of your child’s symptoms can raise your suspicion of intussusception.

• #7 Intussusception – children: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000958.htm

  The first sign of intussusception is very often sudden, loud crying caused by abdominal pain. The pain is colicky and not continuous (intermittent), but it comes back often. The pain will get stronger and last longer each time it returns. […] Other symptoms include: […] Bloody, mucus-like bowel movement, sometimes called a „currant jelly” stool […] Fever […] Shock (pale color, lethargy, sweating) […] Stool mixed with blood and mucus […] Vomiting. […] The outcome is good with early treatment. There is a risk this problem will come back. […] When a hole or tear in the bowel occurs, it must be treated right away. If not treated, intussusception is almost always fatal for infants and young children.

• #8 Intussusception | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/intussusception

  The most common symptom of intussusception is sudden onset of intermittent pain in a previously well child. However, each child may experience symptoms differently. The pain may be mistaken for colic at first, and occurs at frequent intervals. […] Infants and children may strain, draw their knees up, act very irritable and cry loudly. Your child may recover and become playful between bouts of pain, or may become tired and weak from crying. […] Vomiting may also occur with intussusception, and usually starts soon after the pain begins. […] Your child may pass a normal stool, but the next stool may look bloody. Further, a red, mucus or jelly-like stool is usually seen with intussusception. […] Physical examination may reveal a sausage-shaped mass felt upon palpation of the abdomen. […] Symptoms of intussusception may resemble other conditions or medical problems. Please consult a physician for a diagnosis.

• #9

  https://www.beaumont.org/conditions/intussusception

  Intussusception is often diagnosed when a child begins to experience intermittent abdominal pain, which then causes sudden outbursts of crying. […] However, each child may experience intussusception symptoms differently. The pain is sometimes mistaken for colic, as it happens frequently. […] Infants and children may display discomfort through strained movement, bringing their knees close to the chest, irritability, and crying. […] Your child may become playful and energetic in-between episodes of pain or be tired and weak from all the crying. […] Intussusception usually causes vomiting soon after the pain begins. […] While your child may have a normal stool, the next one may look bloody. It’s important to note that intussusception usually leads to a red, jelly-like stool. […] Common intussusception symptoms such as fever, listlessness, vomiting bile, diarrhea, sweating, dehydration, and abdominal distention or lump-may look like other medical conditions, so it’s essential to speak with your child’s doctor for an accurate diagnosis.

• #10 Intussusception | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/intussusception

  Each child experiences symptoms differently, but the most common symptom of intussusception is sudden onset of intermittent pain in a previously well child. […] Vomiting may also occur with intussusception, and it usually starts soon after the pain begins. […] If left untreated, it can cause serious damage to the intestines, since their blood supply is cut off. […] Intestinal infection can occur, and the intestinal tissue can also die. […] Untreated intussusception can also cause internal bleeding and a severe abdominal infection called peritonitis. […] If not treated, intussusception is a life-threatening disorder. If treated within 24 hours, most babies recover completely.

• #11 Intussusception | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/intussusception

  The most common symptom of intussusception is sudden onset of intermittent pain in a previously well child. However, each child may experience symptoms differently. The pain may be mistaken for colic at first, and occurs at frequent intervals. […] Infants and children may strain, draw their knees up, act very irritable and cry loudly. Your child may recover and become playful between bouts of pain, or may become tired and weak from crying. […] Vomiting may also occur with intussusception, and usually starts soon after the pain begins. […] Your child may pass a normal stool, but the next stool may look bloody. Further, a red, mucus or jelly-like stool is usually seen with intussusception. […] Physical examination may reveal a sausage-shaped mass felt upon palpation of the abdomen. […] Symptoms of intussusception may resemble other conditions or medical problems. Please consult a physician for a diagnosis.

• #12 Intussusception: Practice Essentials, Background, Etiology and Pathophysiology

  https://emedicine.medscape.com/article/930708-overview

  Intussusception (see the image below) is a process in which a segment of intestine invaginates into the adjoining intestinal lumen, causing bowel obstruction. With early diagnosis, appropriate fluid resuscitation, and therapy, the mortality rate from intussusception in children is less than 1%. If left untreated, however, this condition is uniformly fatal in 2-5 days. […] The patient with intussusception is usually an infant, often one who has had an upper respiratory infection, who presents with the following symptoms: Vomiting: Initially, vomiting is nonbilious and reflexive, but when the intestinal obstruction occurs, vomiting becomes bilious. Abdominal pain: Pain in intussusception is colicky, severe, and intermittent. Passage of blood and mucus: Parents report the passage of stools, by affected children, that look like currant jelly; this is a mixture of mucus, sloughed mucosa, and shed blood; diarrhea can also be an early sign of intussusception. Lethargy: This can be the sole presenting symptom of intussusception, which makes the conditions diagnosis challenging. Palpable abdominal mass.

• #13 Intussusception (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/intussusception.html

  Intussusception is a medical emergency that needs care right away. It’s the most common abdominal emergency in children under 2 years old. […] Babies and children with intussusception have intense belly pain that often begins suddenly, makes the child draw the knees up toward the chest, and makes the child cry very loudly. […] Symptoms also can include a swollen belly, vomiting, vomiting up bile, passing stools mixed with blood and mucus, known as currant jelly stool, and grunting due to pain. […] As the illness continues, the child may get weaker, develop a fever, and appear to go into shock. In this life-threatening problem, a lack of blood flow to the body’s organs makes the heart beat quickly and blood pressure drop. […] Intussusception is a medical emergency. Call your doctor or get emergency medical help right away if your child has any symptoms of intussusception, such as repeated crampy belly pain, vomiting, drowsiness, or passing of currant jelly stool. Most children treated within the first 24 hours recover completely with no problems. But untreated intussusception can cause serious problems that get worse quickly. So it’s important to get help right away every second counts.

• #14 Child Intussusception – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK431078/

  Intussusception is a condition in which part of the intestine folds into the section next to it. Symptoms include abdominal pain, which may wax and wane, vomiting, bloating, and bloody stool. It may result in small bowel obstruction. Other complications may consist of peritonitis or bowel perforation. […] Intussusception is a condition in which part of the intestine folds into the section next to it. Symptoms include abdominal pain, which may wax and wane, vomiting, bloating, and bloody stool. It may result in small bowel obstruction. Other complications may include peritonitis or bowel perforation. […] Early symptoms include periodic abdominal pain, nausea, vomiting (green from bile), pulling legs to the chest, and cramping abdominal pain. Pain is intermittent because the bowel segment transiently stops contracting. Later signs include rectal bleeding, often with „red currant jelly” stool, and lethargy.

• #15 Intussusception

  https://www.rch.org.au/clinicalguide/guideline_index/intussusception_guideline/

  Diarrhoea is quite common initially and can lead to a misdiagnosis of gastroenteritis. Rectal bleeding or the classic red currant jelly stool are late signs suggesting bowel ischemia and infarction […] Abdominal mass may be felt typically a sausage shaped mass in the right abdomen, crossing the midline in the epigastrium or behind umbilicus (in 2/3 of children). The abdominal mass may be subtle and examination is best performed when the child is settled in between episodes […] Abdominal distension suggests bowel obstruction […] Tenderness or guarding may suggest perforation and peritonitis […] Infants may present with Hypovolaemic shock.

• #16

  https://www.beaumont.org/conditions/intussusception

  Intussusception is often diagnosed when a child begins to experience intermittent abdominal pain, which then causes sudden outbursts of crying. […] However, each child may experience intussusception symptoms differently. The pain is sometimes mistaken for colic, as it happens frequently. […] Infants and children may display discomfort through strained movement, bringing their knees close to the chest, irritability, and crying. […] Your child may become playful and energetic in-between episodes of pain or be tired and weak from all the crying. […] Intussusception usually causes vomiting soon after the pain begins. […] While your child may have a normal stool, the next one may look bloody. It’s important to note that intussusception usually leads to a red, jelly-like stool. […] Common intussusception symptoms such as fever, listlessness, vomiting bile, diarrhea, sweating, dehydration, and abdominal distention or lump-may look like other medical conditions, so it’s essential to speak with your child’s doctor for an accurate diagnosis.

• #17 Intussusception (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/intussusception.html

  Intussusception is a medical emergency that needs care right away. It’s the most common abdominal emergency in children under 2 years old. […] Babies and children with intussusception have intense belly pain that often begins suddenly, makes the child draw the knees up toward the chest, and makes the child cry very loudly. […] Symptoms also can include a swollen belly, vomiting, vomiting up bile, passing stools mixed with blood and mucus, known as currant jelly stool, and grunting due to pain. […] As the illness continues, the child may get weaker, develop a fever, and appear to go into shock. In this life-threatening problem, a lack of blood flow to the body’s organs makes the heart beat quickly and blood pressure drop. […] Intussusception is a medical emergency. Call your doctor or get emergency medical help right away if your child has any symptoms of intussusception, such as repeated crampy belly pain, vomiting, drowsiness, or passing of currant jelly stool. Most children treated within the first 24 hours recover completely with no problems. But untreated intussusception can cause serious problems that get worse quickly. So it’s important to get help right away every second counts.

• #18 Intussusception: What It Is, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/10793-intussusception

  Intussusception requires emergency care but its treatable if you get help fast. […] Babies and children with intussusception experience alternating episodes of severe, crampy abdominal (belly) pain followed by periods with no pain. The pain may last 15 to 20 minutes or longer. […] Eventually, the cycle may exhaust your child, causing them to become lethargic (tired and slow-moving). They may develop a fever and go into shock. […] Other possible symptoms of intussusception include a swollen belly, nausea vomiting (the vomit is sometimes a yellow-green color), and red, jelly-like stools (This is bloody poop from rectal bleeding, sometimes mixed with mucus). […] Often, symptoms arise a few weeks or months after your child has been sick with a virus, so the timing of your child’s symptoms can raise your suspicion of intussusception.

• #19 Intussusception – children: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000958.htm

  The first sign of intussusception is very often sudden, loud crying caused by abdominal pain. The pain is colicky and not continuous (intermittent), but it comes back often. The pain will get stronger and last longer each time it returns. […] Other symptoms include: […] Bloody, mucus-like bowel movement, sometimes called a „currant jelly” stool […] Fever […] Shock (pale color, lethargy, sweating) […] Stool mixed with blood and mucus […] Vomiting. […] The outcome is good with early treatment. There is a risk this problem will come back. […] When a hole or tear in the bowel occurs, it must be treated right away. If not treated, intussusception is almost always fatal for infants and young children.

• #20 Intussusception – Skin Center

  https://www.skincenter.com/patient-education/healthwise?DOCHWID=hw43863

  Intussusception means that one part of the intestine has folded into itself, like a telescope. This can happen anywhere along the intestinal tract. It usually happens between the lower part of the small intestine and the beginning of the large intestine. […] The part of the intestine that folds inward may lose some or all of its blood supply. This section of the intestine becomes swollen and painful. Intussusception needs to be treated right away. If not treated, it can cause life-threatening problems, such as an infection (peritonitis) or a hole or opening (perforation) in the intestine. […] Symptoms of intussusception usually begin suddenly. Your child may: Act fussy. Vomit often. Have severe belly pain and cramping that last from 1 to 5 minutes. Afterward, your child may seem normal, but another period of pain may start 5 to 30 minutes later. Have diarrhea or stools that contain blood or mucus. Have a swollen, painful belly. Your child may have a lump in the upper right side of the belly. […] Your child may be getting worse if they have breathing problems or a fever or are dehydrated. […] If your child has symptoms of intussusception, call your doctor right away.

• #21 Intussusception

  https://www.rch.org.au/clinicalguide/guideline_index/intussusception_guideline/

  The diagnosis of intussusception requires a high index of suspicion. Consider intussusception in infants and children with intermittent distress, vomiting or isolated unexplained lethargy […] Delayed presentation of intussusception can manifest as small bowel obstruction, bowel perforation, peritonitis and/or shock […] The triad of intermittent abdominal pain, palpable abdominal mass and red currant jelly stools occurs in only 1/3 of children […] Episodes can recur within minutes to hours and may increase in frequency over the next 12-24 hours […] The child may appear very well between episodes […] Pallor, especially during episodes […] Lethargy may be the only presenting symptom. It may be profound, episodic or persistent […] Vomiting is usually a prominent feature (but bile stained vomiting is a late sign and indicates a bowel obstruction)

• #22 Intussusception Clinical Presentation: History, Physical Examination

  https://emedicine.medscape.com/article/930708-clinical

  Parents also report the passage of stools that look like currant jelly. This is a mixture of mucus, sloughed mucosa, and shed blood. Diarrhea can also be an early sign of intussusception. […] Lethargy is a relatively common presenting symptom with intussusception. The reason lethargy occurs is unknown, because lethargy has not been described with other forms of intestinal obstruction. Lethargy can be the sole presenting symptom, which makes the diagnosis challenging. Patients are found to have an intestinal process late, after initiation of a septic workup. […] The hallmark physical findings in intussusception are a right hypochondrium sausage-shaped mass and emptiness in the right lower quadrant (Dance sign). This mass is hard to detect and is best palpated between spasms of colic, when the infant is quiet. Abdominal distention frequently is found if obstruction is complete.

• #23 Intussusception (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/intussusception.html

  Intussusception is a medical emergency that needs care right away. It’s the most common abdominal emergency in children under 2 years old. […] Babies and children with intussusception have intense belly pain that often begins suddenly, makes the child draw the knees up toward the chest, and makes the child cry very loudly. […] Symptoms also can include a swollen belly, vomiting, vomiting up bile, passing stools mixed with blood and mucus, known as currant jelly stool, and grunting due to pain. […] As the illness continues, the child may get weaker, develop a fever, and appear to go into shock. In this life-threatening problem, a lack of blood flow to the body’s organs makes the heart beat quickly and blood pressure drop. […] Intussusception is a medical emergency. Call your doctor or get emergency medical help right away if your child has any symptoms of intussusception, such as repeated crampy belly pain, vomiting, drowsiness, or passing of currant jelly stool. Most children treated within the first 24 hours recover completely with no problems. But untreated intussusception can cause serious problems that get worse quickly. So it’s important to get help right away every second counts.

• #24 Intussusception – NIDDK

  https://www.niddk.nih.gov/health-information/digestive-diseases/anatomic-problems-lower-gi-tract/intussusception

  The signs and symptoms of intussusception in babies and children may include severe colicky or crampy pain in the abdomen […] crying and not able to be comforted […] drawing their knees up to their chest […] lethargy, or lack of energy […] vomiting […] stool mixed with blood and mucus, called currant jelly stool. […] Symptoms of intussusception in adults may include pain in the abdomen […] nausea […] vomiting […] bleeding from the rectum or blood in the stool […] constipation […] bloating. […] Signs and symptoms of complications of intussusception may include signs of dehydration, such as thirst, urinating less than usual, and feeling tired […] signs of infection, such as fever […] signs of shock, such as confusion or unconsciousness, a fast heart rate, pale skin, and sweating.

• #25 Intussusception in children – UpToDate

  https://www.uptodate.com/contents/intussusception-in-children/print

  Between the painful episodes, the child may behave relatively normally and be free of pain. As a result, the initial presentation can be confused with that of gastroenteritis. As symptoms progress, increasing lethargy often develops, which can be mistaken for meningoencephalitis. […] However, the classically described triad of pain, a palpable sausage-shaped abdominal mass, and currant-jelly stool is seen in less than 15 percent of patients at the time of presentation. […] Occasionally, the initial presenting sign is lethargy or altered consciousness alone, without pain, rectal bleeding, or other symptoms that suggest an intraabdominal process. This clinical presentation primarily occurs in infants and is often confused with sepsis. Thus, intussusception should be considered in the evaluation of otherwise unexplained lethargy or altered consciousness, especially in infants.

• #26 Intussusception

  https://pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Intussusception

  Typically, episodes of sudden intense pain with screaming and flexion of the legs, often associated with pallor […] Episodes last several minutes and recur at 5-20 minute intervals […] Episodes may be associated with vomiting (bilious or non-bilious) and/or blood in stools […] The classical TRIAD of pain, abdominal mass and red currant jelly stool is only seen in 15% of cases […] Dehydration or shock develops as symptoms progress […] 'Red currant jelly’ stool (blood and mucous in stool) is a late sign.

• #27 Intussusception – Pediatrics – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/pediatrics/gastrointestinal-disorders-in-neonates-and-infants/intussusception

  Intussusception generally occurs between 6 months and 3 years of age, with most cases occurring before age 1 and 70% occurring before age 2. […] The initial symptoms of intussusception are sudden onset of significant, colicky abdominal pain that recurs every 15 to 20 minutes, often with vomiting. The child appears relatively well between episodes. […] Later, as intestinal ischemia develops, pain becomes steady, the child becomes lethargic, and mucosal hemorrhage causes heme-positive stool on rectal examination and sometimes spontaneous passage of a currant-jelly stool. […] A palpable abdominal mass, described as sausage-shaped, is sometimes present. […] About 5 to 10% of children present without the colicky pain phase. Instead, they appear lethargic, as if drugged (atypical or apathetic presentation). […] Physicians should not wait for passage of a currant-jelly stool to suspect intussusception because it is a late occurrence.

• #28 Intussusception in children – UpToDate

  https://www.uptodate.com/contents/intussusception-in-children/print

  Between the painful episodes, the child may behave relatively normally and be free of pain. As a result, the initial presentation can be confused with that of gastroenteritis. As symptoms progress, increasing lethargy often develops, which can be mistaken for meningoencephalitis. […] However, the classically described triad of pain, a palpable sausage-shaped abdominal mass, and currant-jelly stool is seen in less than 15 percent of patients at the time of presentation. […] Occasionally, the initial presenting sign is lethargy or altered consciousness alone, without pain, rectal bleeding, or other symptoms that suggest an intraabdominal process. This clinical presentation primarily occurs in infants and is often confused with sepsis. Thus, intussusception should be considered in the evaluation of otherwise unexplained lethargy or altered consciousness, especially in infants.

• #29 Intussusception – Pediatrics – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/pediatrics/gastrointestinal-disorders-in-neonates-and-infants/intussusception

  Intussusception generally occurs between 6 months and 3 years of age, with most cases occurring before age 1 and 70% occurring before age 2. […] The initial symptoms of intussusception are sudden onset of significant, colicky abdominal pain that recurs every 15 to 20 minutes, often with vomiting. The child appears relatively well between episodes. […] Later, as intestinal ischemia develops, pain becomes steady, the child becomes lethargic, and mucosal hemorrhage causes heme-positive stool on rectal examination and sometimes spontaneous passage of a currant-jelly stool. […] A palpable abdominal mass, described as sausage-shaped, is sometimes present. […] About 5 to 10% of children present without the colicky pain phase. Instead, they appear lethargic, as if drugged (atypical or apathetic presentation). […] Physicians should not wait for passage of a currant-jelly stool to suspect intussusception because it is a late occurrence.

• #30 Intussusception – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/intussusception/symptoms-causes/syc-20351452

  The first sign of intussusception in an otherwise healthy infant may be sudden, loud crying caused by belly pain. Infants who have belly pain may pull their knees to their chests when they cry. […] The pain of intussusception comes and goes, usually every 15 to 20 minutes at first. These painful episodes last longer and happen more often as time passes. […] Intussusception is rare in adults. Also, because symptoms of the disorder often overlap with the symptoms of other disorders, it’s more challenging to identify. The most common symptom is belly pain that comes and goes. Nausea and vomiting also may occur. People sometimes have symptoms for weeks before seeking medical attention. […] Intussusception requires emergency medical care. If you or your child develops the symptoms listed above, seek medical help right away.

• #31 Intussusception in Adults: Causes, Symptoms & Treatment

  https://patient.info/doctor/intussusception-in-adults

  Intussusception symptoms include: […] In adults, intussusception tends to present with nonspecific symptoms that can be very variable and intermittent, making diagnosis challenging. These are usually acute – lasting days to weeks – but in rare cases have been reported as lasting for years. It often causes symptoms of large or small bowel obstruction. […] Abdominal pain, which can wax and wane and feel 'crampy’ in nature. […] Nausea and vomiting. Vomiting may be bilious. […] Constipation and obstipation (being unable to pass flatus or stool) […] Bloating. […] Bloody diarrhoea, if intestinal ischaemia has occurred. […] Fever – although this may be a late sign that indicates intestinal necrosis, perforation, and/or sepsis.

• #32 Intussusception: Symptoms, Causes, Diagnosis & Treatment

  https://www.healthline.com/health/intussusception

  Intussusception does not always produce symptoms immediately. When symptoms do begin, they may start suddenly. This is true for both children and adults. […] Pain and bowel obstructions are the most common symptoms of intussusception. However, many other symptoms may be present, too. […] Intussusception typically causes fluctuating, or colicky, abdominal pain. Other symptoms such as nausea and vomiting may accompany this pain. […] If intussusception results in decreased blood flow in the affected area, this pain may become constant. […] Other symptoms may include: a mass in the abdominal area that you can see or feel, bloody stool, nausea and vomiting, diarrhea, fever, little or no energy. […] When symptoms of adult intussusception are present, they may include abdominal pain as well as nausea and vomiting. These symptoms are typically acute and may come and go. […] This can lead some people to go weeks before seeking medical attention.

• #33 Intussusception in Adults: Causes, Symptoms & Treatment

  https://patient.info/doctor/intussusception-in-adults

  Intussusception symptoms include: […] In adults, intussusception tends to present with nonspecific symptoms that can be very variable and intermittent, making diagnosis challenging. These are usually acute – lasting days to weeks – but in rare cases have been reported as lasting for years. It often causes symptoms of large or small bowel obstruction. […] Abdominal pain, which can wax and wane and feel 'crampy’ in nature. […] Nausea and vomiting. Vomiting may be bilious. […] Constipation and obstipation (being unable to pass flatus or stool) […] Bloating. […] Bloody diarrhoea, if intestinal ischaemia has occurred. […] Fever – although this may be a late sign that indicates intestinal necrosis, perforation, and/or sepsis.

• #34 Intussusception – NIDDK

  https://www.niddk.nih.gov/health-information/digestive-diseases/anatomic-problems-lower-gi-tract/intussusception

  The signs and symptoms of intussusception in babies and children may include severe colicky or crampy pain in the abdomen […] crying and not able to be comforted […] drawing their knees up to their chest […] lethargy, or lack of energy […] vomiting […] stool mixed with blood and mucus, called currant jelly stool. […] Symptoms of intussusception in adults may include pain in the abdomen […] nausea […] vomiting […] bleeding from the rectum or blood in the stool […] constipation […] bloating. […] Signs and symptoms of complications of intussusception may include signs of dehydration, such as thirst, urinating less than usual, and feeling tired […] signs of infection, such as fever […] signs of shock, such as confusion or unconsciousness, a fast heart rate, pale skin, and sweating.

• #35 Intussusception: Causes, symptoms, and treatment

  https://www.medicalnewstoday.com/articles/intussusception

  Adult symptoms of intussusception can be non-specific and develop over a more extended period. They can include: abdominal pain, constipation, diarrhea, or change in bowel habits, abdominal mass, vomiting, nausea, blood in the feces. […] A child who has peritonitis may develop sepsis and go into shock. This is life-threatening and requires urgent medical attention. […] However, the above symptoms could also be due to another condition. Intussusception in adults is usually secondary to another cause. […] Surgical and non-surgical treatments usually have a good outcome. […] In cases where intussusception caused tissue death in the bowel, a person may develop complications. However, these are usually rare. […] Adults who have sudden severe pain should also see a doctor immediately. Intussusception can cause longer-term symptoms that a person may confuse with another condition.

• #36 Intussusception Symptoms: Bloody Stool, Pain, Fever

  https://www.verywellhealth.com/intussusception-symptoms-7503425

  Symptoms in adults may include: Abdominal pain, Constipation, Nausea, Vomiting, Diarrhea, Rectal bleeding, Mass in the abdomen, Bowel obstruction. […] If intussusception goes undiagnosed and untreated, it could lead to serious outcomes. One of the potential complications is a lack of blood getting to the intestines. Without blood flow, the intestinal tissue may start to die. […] Abdominal pain is a common symptom in both adults and children. Getting a diagnosis can take time because the signs and symptoms could also be caused by many other conditions. Severe abdominal pain and rectal bleeding are reasons to seek care in an emergency department.

• #37 Intussusception: A Challenging Diagnosis in Adolescence

  https://www.contemporarypediatrics.com/view/intussusception-challenging-diagnosis-adolescence

  A 14-year-old boy presented with abdominal pain and vomiting of 3 days duration. The abdominal pain was dull, aching, generalized, and made worse by movement. Vomit was described as bilious with a total of 10 episodes over 3 days. The boy had had no bowel movement for 5 days. […] The characteristic triad of presenting symptoms in infants and younger children-cramping abdominal pain, bloody diarrhea, and a palpable tender mass-is less consistent among adolescents, which poses a diagnostic and treatment dilemma. […] Intussusception in children older than age 5 years should raise suspicion for pathologic lead points such as adhesions, polyps, lymphoma, or Meckel’s diverticulum, which was seen in our patient. […] The diagnosis of intussusception is often a challenge to emergency physicians because most patients present with nonspecific signs and symptoms. The index of suspicion should be particularly high in older children who often have pathologic lead points and atypical presentations: delayed diagnosis can lead to ischemic complications.

• #38 LARGE INTUSSUSCEPTION IN THE SMALL INTESTINE: RARE CELIAC DISEASE PRESENTATION – SHM Abstracts | Society of Hospital Medicine

  https://shmabstracts.org/abstract/large-intussusception-in-the-small-intestine-rare-celiac-disease-presentation/

  A 42-year-old man presented to his primary care clinic with five weeks of diarrhea with up to 8 loose, watery stools a day and cramping abdominal pain. […] Intussusception is when a part of the intestine telescopes into another segment of intestine and can range from asymptomatic to causing a bowel obstruction and a medical emergency. […] Intussusception is a very rare presenting symptom and complication of CD. […] Intussusception is a rare condition and even more rare to be the presenting presentation of celiac disease, occurring in less than 1% of all people with CD. […] Early identification of CD in intussusception may allow for management with a gluten free diet and may avoid unnecessary surgery.

• #39 Intussusception | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/intussusception

  Each child experiences symptoms differently, but the most common symptom of intussusception is sudden onset of intermittent pain in a previously well child. […] Vomiting may also occur with intussusception, and it usually starts soon after the pain begins. […] If left untreated, it can cause serious damage to the intestines, since their blood supply is cut off. […] Intestinal infection can occur, and the intestinal tissue can also die. […] Untreated intussusception can also cause internal bleeding and a severe abdominal infection called peritonitis. […] If not treated, intussusception is a life-threatening disorder. If treated within 24 hours, most babies recover completely.

• #40 Child Intussusception – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK431078/

  Intussusception is not usually immediately life-threatening. It is usually successfully treated with barium, water-soluble, or an air-contrast enema, which confirms the diagnosis and successfully reduces it. The success rate is more than 80%. However, up to 10% may reoccur within 24 hours. […] The prognosis for intussusception is excellent if treated quickly, but if untreated it can lead to death within two to five days. The longer the intestine segment is prolapsed and the longer it goes without a blood supply, the less effective a non-surgical reduction. Prolonged intussusception increases bowel ischemia and necrosis, requiring surgical resection.

• #41 Intussusception and Volvulus in Children: Symptoms and Treatment

  https://patient.info/digestive-health/rectal-bleeding-blood-in-faeces/volvulus-intususception

  Occasionally, particularly if it is not picked up early, complications can occur. Possible complications include: The bowel bursts (perforation), spilling bowel contents into the tummy and causing severe inflammation (peritonitis). A part of the bowel dies due to having its blood supply cut off. This part of the bowel would need to be removed in an operation. Bleeding into the bowel. Infection leading on to sepsis.

• #42 Intussusception | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/intussusception

  Each child experiences symptoms differently, but the most common symptom of intussusception is sudden onset of intermittent pain in a previously well child. […] Vomiting may also occur with intussusception, and it usually starts soon after the pain begins. […] If left untreated, it can cause serious damage to the intestines, since their blood supply is cut off. […] Intestinal infection can occur, and the intestinal tissue can also die. […] Untreated intussusception can also cause internal bleeding and a severe abdominal infection called peritonitis. […] If not treated, intussusception is a life-threatening disorder. If treated within 24 hours, most babies recover completely.

• #43 Intussusception in Children | Phoenix Children’s Hospital

  https://phoenixchildrens.org/specialties-conditions/intussusception-children

  Intussusception is a medical emergency. If you think your child may have the disorder, get medical care right away. […] Each child’s symptoms may vary. The most common symptom is sudden, loud crying. This is caused by sudden, severe belly (abdominal) pain in an otherwise healthy child. […] Other symptoms include: Vomiting, Bloody stool, Red, jelly-like stool, Fever, Extreme tiredness or lethargy, Vomiting bile, Diarrhea, Sweating, Dehydration, Swollen belly. […] Symptoms of intussusception may seem like other health problems. See your child’s healthcare provider for a diagnosis. […] Intussusception is a medical emergency. It’s a life-threatening illness. If not treated, it can cause serious problems such as: Intestinal infection, The death of intestinal tissue, Internal bleeding, A severe abdominal infection called peritonitis, A very serious illness called sepsis that occurs when the body has an overwhelming response to an infection, Shock, which refers to life-threatening changes in blood pressure, pulse, and breathing. […] If not treated, intussusception is a life-threatening disorder. […] Your child’s long-term outlook depends on how much damage was done to the intestines. Most children will have no long-term complications of intussusception if treated correctly.

• #44 Intussusception (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/intussusception.html

  Intussusception is a medical emergency that needs care right away. It’s the most common abdominal emergency in children under 2 years old. […] Babies and children with intussusception have intense belly pain that often begins suddenly, makes the child draw the knees up toward the chest, and makes the child cry very loudly. […] Symptoms also can include a swollen belly, vomiting, vomiting up bile, passing stools mixed with blood and mucus, known as currant jelly stool, and grunting due to pain. […] As the illness continues, the child may get weaker, develop a fever, and appear to go into shock. In this life-threatening problem, a lack of blood flow to the body’s organs makes the heart beat quickly and blood pressure drop. […] Intussusception is a medical emergency. Call your doctor or get emergency medical help right away if your child has any symptoms of intussusception, such as repeated crampy belly pain, vomiting, drowsiness, or passing of currant jelly stool. Most children treated within the first 24 hours recover completely with no problems. But untreated intussusception can cause serious problems that get worse quickly. So it’s important to get help right away every second counts.

• #45 Intussusception | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/intussusception

  Each child experiences symptoms differently, but the most common symptom of intussusception is sudden onset of intermittent pain in a previously well child. […] Vomiting may also occur with intussusception, and it usually starts soon after the pain begins. […] If left untreated, it can cause serious damage to the intestines, since their blood supply is cut off. […] Intestinal infection can occur, and the intestinal tissue can also die. […] Untreated intussusception can also cause internal bleeding and a severe abdominal infection called peritonitis. […] If not treated, intussusception is a life-threatening disorder. If treated within 24 hours, most babies recover completely.

• #46 Intussusception: Practice Essentials, Background, Etiology and Pathophysiology

  https://emedicine.medscape.com/article/930708-overview

  The prognosis in patients with intussusception is excellent if the condition is diagnosed and treated early; otherwise, severe complications and death may occur. The recurrence rate of intussusception after nonoperative reduction is usually less than 10% but has been reported to be as high as 15%. Most intussusceptions recur within 72 hours of the initial event; however, recurrences have been reported as long as 36 months later. More than 1 recurrence suggests the presence of a lead point. A recurrence is usually heralded by the onset of the same symptoms as appeared during the initial event. Provide similar treatment for a recurrence unless the suggestion of a lead point is very strong (in which case, surgical exploration should be contemplated).

• #47 Intussusception – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/intussusception/diagnosis-treatment/drc-20351457

  Your or your child’s health care provider will start by getting a history of the symptoms of the problem. […] Treatment of intussusception typically happens as a medical emergency. Emergency medical care is required to avoid severe dehydration and shock, as well as prevent infection that can occur when a portion of intestine dies due to lack of blood. […] Intussusception recurs up to 20% of the time, and the treatment will have to be repeated. […] In some cases, intussusception may be temporary and go away without treatment.

• #48 Intussusception – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/intussusception/symptoms-causes/syc-20351452

  The first sign of intussusception in an otherwise healthy infant may be sudden, loud crying caused by belly pain. Infants who have belly pain may pull their knees to their chests when they cry. […] The pain of intussusception comes and goes, usually every 15 to 20 minutes at first. These painful episodes last longer and happen more often as time passes. […] Intussusception is rare in adults. Also, because symptoms of the disorder often overlap with the symptoms of other disorders, it’s more challenging to identify. The most common symptom is belly pain that comes and goes. Nausea and vomiting also may occur. People sometimes have symptoms for weeks before seeking medical attention. […] Intussusception requires emergency medical care. If you or your child develops the symptoms listed above, seek medical help right away.

• #49 Intussusception Clinical Presentation: History, Physical Examination

  https://emedicine.medscape.com/article/930708-clinical

  The constellation of signs and symptoms of intussusception represents one of the most classic presentations of any pediatric illness; however, the classic triad of vomiting, abdominal pain, and passage of blood per rectum occurs in only one third of patients. The patient is usually an infant who presents with vomiting, abdominal pain, passage of blood and mucus, lethargy, and a palpable abdominal mass. These symptoms are often preceded by an upper respiratory infection. […] Pain in intussusception is colicky, severe, and intermittent. The parents or caregivers describe the child as drawing the legs up to the abdomen and kicking the legs in the air. In between attacks, the child appears calm and relieved. […] Initially, vomiting is nonbilious and reflexive, but when the intestinal obstruction occurs, vomiting becomes bilious. Any child with bilious vomiting is assumed to have a condition that must be treated surgically until proven otherwise.

• #50 Intussusception In Children | KidsHealth New Zealand’s Trusted Voice On Children’s Health

  https://www.kidshealth.org.nz/intussusception

  Signs of intussusception include tummy pain, vomiting and possibly blood in your child’s poo. […] The signs of intussusception include tummy pain (your baby may cry and draw their knees up), vomiting and possibly blood in their poo. […] Signs of intussusception may include: severe crying caused by tummy pain – the pain may be colicky and not continuous, but it comes back often; your baby may draw their knees to their chest while crying; vomiting, which can become green (caused by bile in the vomit); blood in the poo – the poo may have the appearance of 'redcurrant jelly’, which is a mix of mucus, cells and blood; pale skin colour; being unusually tired or floppy, and not interested in surroundings (lethargic). […] If you’re worried your baby might have intussusception, seek urgent medical help. […] If your baby has some of the symptoms above, and you’re worried they might have intussusception, seek urgent medical help.

• #51 Intussusception: What It Is, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/10793-intussusception

  Intussusception requires emergency care but its treatable if you get help fast. […] Babies and children with intussusception experience alternating episodes of severe, crampy abdominal (belly) pain followed by periods with no pain. The pain may last 15 to 20 minutes or longer. […] Eventually, the cycle may exhaust your child, causing them to become lethargic (tired and slow-moving). They may develop a fever and go into shock. […] Other possible symptoms of intussusception include a swollen belly, nausea vomiting (the vomit is sometimes a yellow-green color), and red, jelly-like stools (This is bloody poop from rectal bleeding, sometimes mixed with mucus). […] Often, symptoms arise a few weeks or months after your child has been sick with a virus, so the timing of your child’s symptoms can raise your suspicion of intussusception.

• #52 Intussusception | Great Ormond Street Hospital

  https://www.gosh.nhs.uk/conditions-and-treatments/conditions-we-treat/intussusception/

  The main symptom of intussusception is severe abdominal pain that comes and goes. Each episode tends to last two to three minutes. In between episodes, the child will look very pale, tired and floppy. […] After 12 hours or so the pain becomes more constant, and the child will usually go off food and may vomit. Due to the vomiting, they may become dehydrated. Symptoms of dehydration include lethargy (tiredness), fewer wet nappies than usual and the soft spot (fontanel) on top of the head being sunken. […] The child may also have a high temperature and a swollen stomach, and their faeces (poo) may contain blood and mucus.

• #53 Intussusception – children: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000958.htm

  The first sign of intussusception is very often sudden, loud crying caused by abdominal pain. The pain is colicky and not continuous (intermittent), but it comes back often. The pain will get stronger and last longer each time it returns. […] Other symptoms include: […] Bloody, mucus-like bowel movement, sometimes called a „currant jelly” stool […] Fever […] Shock (pale color, lethargy, sweating) […] Stool mixed with blood and mucus […] Vomiting. […] The outcome is good with early treatment. There is a risk this problem will come back. […] When a hole or tear in the bowel occurs, it must be treated right away. If not treated, intussusception is almost always fatal for infants and young children.

• #54 Intussusception Treatment, Causes, Diagnosis, Symptoms, Stool

  https://www.medicinenet.com/intussusception/article.htm

  Some affected individuals who do not seek early medical attention may pass „currant jelly stool”. This is a stool that is mixed with blood and mucus 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 may become weaker and develop additional symptoms, including those associated with shock, such as paleness, lethargy, and even fever. However, these are not an integral part of the associated „triad.” […] The outlook for intussusception is usually good with early diagnosis and treatment. Early detection and treatment are paramount. […] Early diagnosis and treatment of intussusception are essential to prevent injury to the intestine and the associated sequelae, including surgical bowel removal, sepsis, and even death.

• #55 Intussusception Symptoms, Treatment, Surgery, Diet, Success

  https://www.emedicinehealth.com/intussusception_in_babies_children_and_adults/article_em.htm

  Intussusception is a medical emergency that requires prompt attention. Early diagnosis and treatment of intussusception is needed to prevent serious complications. […] In about 10% of cases, intussusception returns within 72 hours after a procedure, regardless of whether it was an enema or surgery. […] Complications of intussusception if it is not treated include injury or death of the intestine which can result in surgical removal of the bowel, life-threatening infection (sepsis), and death.

• #56 Intussusception – familydoctor.org

  https://familydoctor.org/condition/intussusception/

  Intussusception is a serious problem with the intestine. It occurs when one part of the intestine slides into another section. This causes the intestine to fold and become blocked. This prevents the passage of food through the intestine. […] Intussusception can occur in adults. However, it is more common in infants and young children. It is a medical emergency. If left untreated, it may cause severe complications. These could include infection or even death. […] The first sign of intussusception is severe abdominal pain. It could last for 15 to 20 minutes. It often gets worse as time goes on. Other signs your child may have intussusception include: Swelling in the abdomen, Vomiting, Irritability, Bloody, mucus-like stools, Fever, Signs of shock (pale color, lack of energy, sweating). […] Because intussusception is a medical emergency, seek medical help immediately if your child has symptoms of intussusception. When left untreated, intussusception may cause severe complications.

• #57 Child Intussusception – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK431078/

  Intussusception is not usually immediately life-threatening. It is usually successfully treated with barium, water-soluble, or an air-contrast enema, which confirms the diagnosis and successfully reduces it. The success rate is more than 80%. However, up to 10% may reoccur within 24 hours. […] The prognosis for intussusception is excellent if treated quickly, but if untreated it can lead to death within two to five days. The longer the intestine segment is prolapsed and the longer it goes without a blood supply, the less effective a non-surgical reduction. Prolonged intussusception increases bowel ischemia and necrosis, requiring surgical resection.

• #58 Child Intussusception – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK431078/

  Intussusception is not usually immediately life-threatening. It is usually successfully treated with barium, water-soluble, or an air-contrast enema, which confirms the diagnosis and successfully reduces it. The success rate is more than 80%. However, up to 10% may reoccur within 24 hours. […] The prognosis for intussusception is excellent if treated quickly, but if untreated it can lead to death within two to five days. The longer the intestine segment is prolapsed and the longer it goes without a blood supply, the less effective a non-surgical reduction. Prolonged intussusception increases bowel ischemia and necrosis, requiring surgical resection.

• #59 Intussusception | Lurie Children’s

  https://www.luriechildrens.org/en/specialties-conditions/intussusception/

  Intussusception is the most common cause of intestinal obstruction in children between the ages of 3 months and 3 years and occurs when a portion of the intestine folds like a telescope, with one segment slipping inside another segment. This causes an obstruction, preventing the passage of food that is being digested through the intestine. […] The most common first symptom of intussusception is sudden onset of intermittent pain in a previously well child. However, each child may experience symptoms differently. The pain may be mistaken for colic at first, and occurs at frequent intervals. Infants and children may strain, draw their knees up, act very irritable and cry loudly. Your child may recover and become playful between bouts of pain or may become tired and weak from crying. […] Vomiting may also occur with intussusception, and it usually starts soon after the pain begins. Your child may pass a normal stool, but the next stool may look bloody. Further, a red, mucus- or jelly-like stool is usually seen with intussusception. […] If not treated, intussusception is a life-threatening disorder. If treated within 24 hours, most babies recover completely. The long-term outlook depends on the extent, if any, of intestinal damage.

Zobacz więcej