Diseases > Rotavirus
- What are
the symptoms of intussusception?
is intussusception treated?
- What is intussusception?
Intussusception is an uncommon type of bowel obstruction that occurs when
the bowel folds in on itself. Intussusception is most common among young
children. Some cases occur with viral infection, or when a piece of enlarged
tissue serves as a "lead point" (e.g., polyp or enlarged lymph
gland), but no cause is identified in most cases. The most common place in
the intestine for intussusception to occur is where the small bowel joins
the large bowel. However, intussusception can occur in many parts of the
intestine. With prompt treatment, almost all patients fully recover.
- What are the symptoms of
Infants with intussusception become ill with vomiting, abdominal pain and
often have blood in the stool. Some infants will have periods of crying in
pain alternating with periods of exhausted sleep. Parents of infants with
these symptoms should seek medical advice because their infant may require
prompt medical evaluation.
- What causes
In most cases, no cause is identified. Some cases have been associated
with infection, such as adenovirus, or with a structural abnormality such as
a polyp or tumor.
- How is intussusception treated?
An experienced radiologist often can "unfold" the
intussusception using an "enema" of air or fluid under pressure to
push the enfolded intestine back into its normal position. When this does
not work, surgery is required to "unfold" the intestine. In a
small percentage of children, it is necessary to remove the section of
intestine that is causing the blockage.
- Ein SH, Alton D, Padler SB, Shandling B, Stringer D.
Intussusception in the 1990s: has 25 years made a difference? Pediatric Surg
- Murphy TV, Gargiullo PM, Massoudi MS, et al. Intussusception among
infants given an oral rotavirus vaccine. N Engl J Med 2001;344:564-72.
- Stringer MD, Pablot SM, Brereton RJ. Paediatric
intussusception. Br J
page last modified on February 23, 2006
This page last reviewed on February