Intussusception is a serious medical condition in which one segment of the intestine slides or “telescopes” into an adjacent segment. This process causes a blockage in the bowel, preventing the normal movement of food and fluids. It can also cut off the blood supply to the affected portion of the intestine, leading to tissue damage or death if not treated promptly.
Although intussusception can occur at any age, it is most common in infants and young children, particularly between 6 months and 3 years old. In adults, the condition is rare and often associated with an underlying medical cause.
What Happens During Intussusception
In a healthy digestive system, the intestines move food through coordinated muscle contractions called peristalsis. In intussusception, a section of the intestine folds into itself, dragging the mesentery—the tissue that carries blood vessels—along with it. This folding creates a blockage, trapping blood and cutting off circulation. If left untreated, it can lead to intestinal perforation, infection, or peritonitis, which can be life-threatening.
Causes and Risk Factors
The exact cause of intussusception often depends on the patient’s age.
In children, the condition is often idiopathic, meaning no clear cause is found. However, it can sometimes be triggered by:
- Viral infections that cause swelling of lymph tissue in the intestinal wall
- Abnormal growths or polyps (rare in children)
- Rapid changes in bowel movement patterns
In adults, intussusception usually has an identifiable cause, such as:
- Tumors or polyps acting as a “lead point” for the telescoping
- Post-surgical scar tissue
- Inflammatory bowel diseases like Crohn’s disease
Symptoms
The symptoms of intussusception can appear suddenly and may vary depending on the severity of the blockage. Common signs include:
- Sudden, severe abdominal pain that comes and goes in waves
- Vomiting
- Abdominal swelling or tenderness
- Lethargy or weakness
- Bloody or “currant jelly” stool (a mix of mucus and blood)
Infants may cry intensely, pull their knees to their chest, or appear extremely irritable between episodes of pain.
Diagnosis
A prompt diagnosis is essential to prevent complications. Doctors typically use a combination of physical examination and imaging tests to confirm intussusception.
- Ultrasound is the preferred diagnostic method and can often show the classic “target” or “doughnut” sign.
- X-rays or CT scans may be used in older children or adults to locate the obstruction and assess complications.
Treatment
Treatment depends on the patient’s age and the severity of the condition.
In children, intussusception is often treated without surgery using an air or contrast enema. This procedure both diagnoses and reduces the telescoped intestine by using pressure to unfold it. If the enema is unsuccessful or if there are signs of bowel damage, surgical intervention may be necessary.
In adults, surgery is more commonly required, since an underlying cause such as a tumor or polyp often needs to be removed to prevent recurrence.
After treatment, patients are closely monitored for signs of recurrence, which can occasionally occur, particularly in young children.
Prognosis and Prevention
When diagnosed and treated early, most patients recover fully from intussusception. However, delayed treatment can lead to serious complications such as intestinal necrosis, infection, or shock.
There is no guaranteed way to prevent intussusception, but seeking prompt medical attention for unexplained abdominal pain—especially in infants and toddlers—can significantly improve outcomes.
Conclusion
Intussusception is a medical emergency that requires quick recognition and treatment. Though often frightening for parents and patients alike, modern diagnostic and therapeutic methods have made recovery outcomes excellent in most cases. Awareness of its symptoms and prompt medical evaluation can save lives and prevent long-term intestinal damage.
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