{"id":9602,"date":"2019-11-15t14:48:53","date_gmt":"2019-11-15t03:48:53","guid":{"rendered":"\/\/www.iolishoes.com\/?page_id=9602"},"modified":"2021-07-03t23:12:45","modified_gmt":"2021-07-03t13:12:45","slug":"intussusception","status":"publish","type":"page","link":"\/\/www.iolishoes.com\/intussusception\/","title":{"rendered":"intussusception"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"9602\" class=\"elementor elementor-9602\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-526a666 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"526a666\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7ba74d3\" data-id=\"7ba74d3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1a81e91 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1a81e91\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4bb6647\" data-id=\"4bb6647\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-67e4446 elementor-widget elementor-widget-text-editor\" data-id=\"67e4446\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>intussusception is the invagination (or telescoping) of one part of bowel into another.<\/li><li>most typically it involves the ileum into the caecum however can occur anywhere in the bowel.<\/li><li>the risk is ischemia of the &#8216;trapped&#8217; bowel leading to necrosis and sepsis.<\/li><li>it may occur at any age but commonly occurs in the 2 month to 2 year age group with a peak incidence at 5 to 9 months.<\/li><li>most common cause of bowel obstruction in children &lt; 3yr old. m &gt; f<\/li><li>fatal if untreated.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-298cbf4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"298cbf4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-088ce73\" data-id=\"088ce73\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f998fa9 elementor-widget elementor-widget-image\" data-id=\"f998fa9\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"517\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/07\/intussusception-schematic-1024x517.jpg\" class=\"attachment-large size-large wp-image-22319\" alt=\"intussusception schematic\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/07\/intussusception-schematic-1024x517.jpg 1024w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/07\/intussusception-schematic-300x152.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/07\/intussusception-schematic-768x388.jpg 768w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/07\/intussusception-schematic.jpg 1085w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">schematic of intussusception anatomy. the proximal bowel (intussuseptum) telescopes into the distal bowel (intussuscipiens).<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-16a1416 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"16a1416\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bd89c01\" data-id=\"bd89c01\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f49cacb elementor-widget elementor-widget-text-editor\" data-id=\"f49cacb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h5><span class=\"ez-toc-section\" id=\"ultrasound_appearances\"><\/span><em><strong>ultrasound appearances:<\/strong><\/em><span class=\"ez-toc-section-end\"><\/span><\/h5><ul><li>&#8216;pseudo kidney&#8217;<\/li><li>target sign<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-61203e7e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"61203e7e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-197ad6d3\" data-id=\"197ad6d3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5d34806f elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"5d34806f\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1d73286a elementor-widget elementor-widget-text-editor\" data-id=\"1d73286a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>the ileum has invaginated into the cecum.<\/p><p>the cecum is called the intussuscipiens.<\/p><p>the ileum is called the intussusceptum.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-ee0367e\" data-id=\"ee0367e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-797979ba elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"797979ba\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<a class=\"elementor-flip-box__layer elementor-flip-box__back\" href=\"#elementor-action%3aaction%3dlightbox%26settings%3deyj1cmwioijodhrwolwvxc91bhryyxnvdw5kcgflzglhlmnvbvwvd3aty29udgvudfwvdxbsb2fkc1wvmjaymvwvmddcl2ludhvzc3vzy2vwdglvbi1scy5qcgcilcj0exblijoiaw1hz2uilcj0axrszsi6ikludhvzc3vzy2vwdglvbi4gvwx0cmfzb3vuzcanchnldwrvigtpzg5lescgc2lnbi4ifq%3d%3d\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-31f74017 elementor-widget elementor-widget-text-editor\" data-id=\"31f74017\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>intussusception &#8216;pseudo kidney&#8217; sign.<\/p><p>the ileum is the intussuseptum and has telescoped into the caecum (intussusipiens).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-233d2712 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"233d2712\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4a47c7f5\" data-id=\"4a47c7f5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6c6dbcda elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"6c6dbcda\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<a class=\"elementor-flip-box__layer elementor-flip-box__back\" href=\"#elementor-action%3aaction%3dlightbox%26settings%3deyj1cmwioijodhrwolwvxc91bhryyxnvdw5kcgflzglhlmnvbvwvd3aty29udgvudfwvdxbsb2fkc1wvmjaxovwvmtfcl2ludhvzc3vzzxb0aw9ulwn0lxnjyw4tyxhpywwuanbniiwidhlwzsi6imltywdliiwidgl0bguioijbeglhbcbdvcbzy2fuihnob3dpbmcgdghligludhvzc3vzy2vwdglvbibpbib0aguguklglij9\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1fa09d4c elementor-widget elementor-widget-text-editor\" data-id=\"1fa09d4c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>axial ct scan showing the intussusception in the rif.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-febe4b1\" data-id=\"febe4b1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2c233244 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"2c233244\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<a class=\"elementor-flip-box__layer elementor-flip-box__back\" href=\"#elementor-action%3aaction%3dlightbox%26settings%3deyj1cmwioijodhrwolwvxc91bhryyxnvdw5kcgflzglhlmnvbvwvd3aty29udgvudfwvdxbsb2fkc1wvmjaxovwvmtfcl2ludhvzc3vzzxb0aw9ulwn0lxnjyw4uanbniiwidhlwzsi6imltywdliiwidgl0bguioijdb3jvbmfsienuihnjyw4gc2hvd2luzyb0agugaw50dxnzdxnjzxb0aw9uigluihrozsbssuyuin0%3d\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c5bcfac elementor-widget elementor-widget-text-editor\" data-id=\"7c5bcfac\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>coronal ct scan showing the intussusception in the rif.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-224122fb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"224122fb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-42c1cc41\" data-id=\"42c1cc41\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3b8ae10b elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"3b8ae10b\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<a class=\"elementor-flip-box__layer elementor-flip-box__back\" href=\"#elementor-action%3aaction%3dlightbox%26settings%3deyj1cmwioijodhrwolwvxc91bhryyxnvdw5kcgflzglhlmnvbvwvd3aty29udgvudfwvdxbsb2fkc1wvmjaxovwvmtfcl0ludhvzc3vzy2vwdglvbi1mbg93lwnoyxj0lmdpziisinr5cguioijpbwfnzsisinrpdgxlijoiq2xpbmljywwgzmxvd2noyxj0igzvcibpbnr1c3n1c2nlchrpb24uxg5cbljfrjogvghlifjvewfsienoawxkcmvuj3mgsg9zcgl0ywwsxg5nzwxib3vybmugqxvzdhjhbglhlij9\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-14e94be elementor-widget elementor-widget-text-editor\" data-id=\"14e94be\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>clinical flowchart for intussusception.<\/p><p>ref: the royal children&#8217;s hospital,<br \/>melbourne australia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-61685c9c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"61685c9c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-50eb20bc\" data-id=\"50eb20bc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8f61047 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"8f61047\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-43eecd6f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"43eecd6f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5ecb5b49\" data-id=\"5ecb5b49\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-62ac5559 elementor-widget elementor-widget-heading\" data-id=\"62ac5559\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"patho-physiology_of_intussusception\"><\/span>patho-physiology of intussusception<span class=\"ez-toc-section-end\"><\/span><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d953544 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d953544\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c2c80a8\" data-id=\"c2c80a8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5c23a28 elementor-widget elementor-widget-text-editor\" data-id=\"5c23a28\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em><strong>causes<\/strong><\/em><\/p><ul><li>idiopathic\/unknown aetiology.<\/li><li>in a small percentage, there may be a <strong>&#8216;lead point&#8217;<\/strong>. this is an anatomical or pathological structure contributing the the intussuseption. eg tumour, meckles diverticulum or haematoma. non surgical resolution is less successful when a lead point is present.<\/li><li>some researchers are suggesting a post viral association. particularly related to proliferation\/reactive <a href=\"https:\/\/www.innerbody.com\/anatomy\/immune-lymphatic\/peyers-patches\"><span style=\"text-decoration: underline;\"><strong>peyer&#8217;s patches<\/strong> (learn more) acting as a lead point.<\/span><\/a><\/li><li>also has been linked to an older type of rota virus vaccination (<a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/nejmoa1311738?rss=searchandbrowse=article\">ref : nejm<\/a>).<\/li><\/ul><p><em><strong>signs and symptoms<\/strong><\/em><\/p><ul><li>acute onset of severe pain (spasmodic, but increasing in frequency)<\/li><li>may be a palbable mass.<\/li><li>mixture of blood and mucous causes &#8216;current jelly&#8217; stools. occurs as the condition advances. does not have to be present.<\/li><li>most common cause of bowel obstruction in children &lt; 3yr old. m &gt; f<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-91c1522 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"91c1522\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8878cdf\" data-id=\"8878cdf\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-74431a3 elementor-widget elementor-widget-image\" data-id=\"74431a3\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"512\" height=\"352\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/07\/intussusception-olek-remesz-wiki-pl-orem-commons-orem-cc-by-sa-3.0-via-wikimedia-commons.png\" class=\"attachment-large size-large wp-image-22497\" alt=\"intussusception diagram\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/07\/intussusception-olek-remesz-wiki-pl-orem-commons-orem-cc-by-sa-3.0-via-wikimedia-commons.png 512w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/07\/intussusception-olek-remesz-wiki-pl-orem-commons-orem-cc-by-sa-3.0-via-wikimedia-commons-300x206.png 300w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">intussusception diagram. ref olek remesz wiki-pl orem, commons orem, cc by-sa 3.0, via wikimedia commons<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-72aeafb0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"72aeafb0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-64fc7e2f\" data-id=\"64fc7e2f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5e23baa elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"5e23baa\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b743e80 elementor-widget elementor-widget-text-editor\" data-id=\"7b743e80\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>mesenteric lymph nodes adjacent to the distal ileum.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-daeb72e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"daeb72e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-05d2508\" data-id=\"05d2508\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-70aadb5 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"70aadb5\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4d95f35 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4d95f35\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9897f2d\" data-id=\"9897f2d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e779dc6 elementor-widget elementor-widget-heading\" data-id=\"e779dc6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"scanning_protocol\"><\/span>scanning protocol<span class=\"ez-toc-section-end\"><\/span><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-536d4a7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"536d4a7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e04474d\" data-id=\"e04474d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5ce9bde elementor-widget elementor-widget-text-editor\" data-id=\"5ce9bde\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"preparation_equipment\"><\/span>preparation &amp; equipment<span class=\"ez-toc-section-end\"><\/span><\/h3><ul><li>no preparation is needed.<\/li><li>supine.<\/li><li>begin with a curvilinear probe to obtain an overview of the abdomen for masses and free fluid.<\/li><li>a linear probe (largest foot print available). ideally 8-12mhz.<\/li><li>a curvi-linear probe for larger\/deeper structures depending on the age and habitus of the paediatric patient.<\/li><li>warm gel and warm envirnonment.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7798b45 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7798b45\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c760dbc\" data-id=\"c760dbc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9817e85 elementor-widget elementor-widget-text-editor\" data-id=\"9817e85\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"scan_technique\"><\/span>scan technique<span class=\"ez-toc-section-end\"><\/span><\/h3><ul><li>be as gently as possible.<\/li><li>begin with a curvilinear probe to obtain an overview of the abdomen for masses and free fluid.<\/li><li>if there is a palpable mass or painful focus, scan directly on that area.<\/li><li>if not, scan medially in the rif.<\/li><li>begin at the level\u00a0 to asis in a transverse plane.<\/li><li>slide superiorly looking for the caecum.<\/li><li>sweep superiorly and inferiorly in a progressive manner towards umbilicus.<\/li><li>if no pathology\/cause for symptoms is identified, assess all the viscera (liver, kidneys, adrenals etc).<\/li><li>also check the orientation of superior mesenteric artery to be left of the superior mesenteric vein. image in a transverse plane. if reversed, suspect volvulus. and look for &#8220;bowel whirlpool&#8221;.<\/li><li>if intussuseption or other bowel pathology identified, ensure vascularity is present in the bowel wall using colour doppler.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b856310 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b856310\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ae02aba\" data-id=\"ae02aba\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b30ffb4 elementor-widget elementor-widget-text-editor\" data-id=\"b30ffb4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"differential_diagnoses\"><\/span>differential diagnoses<span class=\"ez-toc-section-end\"><\/span><\/h3><p>there are many causes of abdominal pain in an infant. these include:<\/p><ul><li>appendicitis<\/li><li>colic<\/li><li>constipation<\/li><li>mass<\/li><li>infection<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fbca6a9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fbca6a9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d1828a0\" data-id=\"d1828a0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0883b84 elementor-widget elementor-widget-text-editor\" data-id=\"0883b84\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"basic_hardcopy_imaging\"><\/span>basic hardcopy imaging<span class=\"ez-toc-section-end\"><\/span><\/h3><p>an intusseption series is an urgent, targetted scan\u00a0 &amp; is actually an examination for the cause for abdominal pain. it should include images of the relevant anatomy investigated:<\/p><ul><li>sma, smv orientation<\/li><li>colour doppler of bowel wall.<\/li><li>any pathology identified<\/li><li>any free fluid identified.<\/li><\/ul><p>document any pathology found in 2 planes, including measurements and any vascularity.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a623a1b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a623a1b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5a84556\" data-id=\"5a84556\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-734e3d1 elementor-align-left elementor-widget elementor-widget-button\" data-id=\"734e3d1\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-grow\" href=\"https:\/\/emedicine.medscape.com\/article\/930708-overview#a5\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-bookmark\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">reference article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-254b941\" data-id=\"254b941\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-36972cc elementor-widget elementor-widget-text-editor\" data-id=\"36972cc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: left;\"><a href=\"https:\/\/emedicine.medscape.com\/article\/930708-overview#a5\">medscape article on intussuseption.<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>intussusception is the invagination (or telescoping) of one part of bowel into another. most typically it involves the ileum into the caecum however can occur anywhere in the bowel. the risk is ischemia of the &#8216;trapped&#8217; bowel leading to necrosis and sepsis. it may occur at any age but commonly occurs in the 2 month [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"tags":[],"class_list":["post-9602","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/pages\/9602","targethints":{"allow":["get"]}}],"collection":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/comments?post=9602"}],"version-history":[{"count":0,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/pages\/9602\/revisions"}],"wp:attachment":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/media?parent=9602"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/tags?post=9602"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}