All statements about adult instussusception are true except:
Ans: A (Idiopathic & more enteric rather than colonic) {Ref: L&B 26th/l 184-85,187 & 25th/79-81; Sabiston 18th/ 2063-64]"Most intussusceptions can be reducednon-operatively using an air or barium enema- L & B 25th/ 81'Adult cases of intussusceptions are invariably associated with a lead point, which is usually a polypfe.g, Peutz-Jeghers syndrome), a submucosal lipoma or other tumor"- L & B 25th/ l191"In adults, colocolic intussusceptions is common but in children ileocolic is commonest variety (77%v"- L & B 25th/1191Intussususception# The incidence of a pathological lead point is upto 12% in most pediatric series & increases directly with age# Causes:Change in diet during weaning, Upper respiratory tract infection, viral infection, Intestinal polyp, Submucous lipoma, Leiomyoma of intestine, Meckel's diverticulum,Carcinoma, Purpuric submuscosal haemorrhagesAdministration of rotavirus vaccinei can cause intussusceptions- Sabiston 18th/2063# Currant jelly stool " is foundTarget sign & pseudokidney sign5 are found- Sabiston 18th/ 2064# Treatment:* Non-operative: reduction by hydrostatic pressure using either saline or barium sulphate solution or air:* Surgery indications:- More than 48 hrs duration- Features of perforation, strangulation, peritonitis- Recurrent intussusceptions- In adults, commonly resection is required.
Idiopathic & more enteric rather than colonic
Lead point present in majority of cases
Resection of bowel is adequate for large bowel intussusception
Hydrostatic reduction with barium or air are done if bowel is not completely obstructed
Intestinal Obstruction