If you have a different child's abdominal pain or bloody stool, suspect 'intussusception'
Dec 08, 2024
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This is because the child said he had a stomachache, but he had a bloody stool.
The child, who became more and more painful, even vomited and visited the emergency room. The result of the test was 'intact hyperplasia'. Fortunately, it did not cause complications due to early treatment, but I had to go to the hospital to receive treatment for a while.
Intussusception is an emergency disease that occurs mainly in children, and refers to a condition in which one part of the intestine is rolled into another adjacent part. If not treated in a timely manner, it can lead to serious complications such as intestinal necrosis, so early detection and rapid treatment are important.
About 95% of intussusception is without cause, usually occurring in children between 3 months and 3 years of age and more in boys. In particular, it is most common for the ileum, the last part of the small intestine, to be rolled into the appendix, the starting point of the large intestine. Intussusception often occurs after recovery from a cold or enteritis.
It can appear for less than three months or over 12 years of age, and there is a possibility that a lead point exists. The leading point can cause one part of the intestine to curl into the other, most of which are abnormal structures. The most common lesion as a leading point is Mechelgecil, and in addition, polyps or, rarely, benign or malignant tumors may act as these leading points.
Typical symptoms of intussusception are periodic abdominal pain and bloody stools. You can observe the child suddenly crying and pulling his legs up toward his stomach, and he is in pain and then he repeats the silence. If intussusception has progressed a lot, a sausage-like mass may be touched by gently touching the child's stomach, and mucous bloody excrement may occur over time after the outbreak. In addition, it may be accompanied by vomiting and diarrhea.
Abdominal x-ray is the first to be performed for diagnosis. This can lead to suspected intussusception by confirming the gas distribution in the intestinal tract or by confirming the shade of the palpable mass. After that, an accurate diagnosis can be made through characteristic findings such as 'Donut Sign' by abdominal ultrasound because the intestine is rolled up and the overlapping cross-section looks like a donut.
For treatment, non-surgical treatment can be performed first by injecting air or water into the large intestine through the anus and releasing the overlapping state. This is a treatment that releases the intestine by increasing pressure in the intestinal tract in patients with intussusception who have not progressed to peritonitis, and the success rate is about 90%.
Surgical treatment includes laparoscopic subversion or laparoscopic subversion, in which overlapping intestines are pushed out by laparoscopic instruments or hands. This is a surgical method performed in patients whose non-surgical conquest has failed or has progressed to peritonitis. If there is no leading point or serious damage to the overlapping intestines, the surgery can be completed only with conquests. However, if the leading point exists or intestinal perforation or intestinal necrosis has progressed, the leading point or damaged intestines should be resected.
Professor Oh Chae-yeon of pediatric surgery at Korea University Ansan Hospital said, `Although intussusception is an emergency disease, most children can fully recover if treated early"If treatment is delayed, serious complications such as intestinal necrosis or peritonitis can be caused, and it can lead to life-threatening situations, so rapid diagnosis and treatment are important." In addition, "It is safe to visit the hospital immediately if the child complains of abdominal pain or mucinous bloody excrement is observed."
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This article was translated by Naver AI translator.
