Home | | Medicine Study Notes | Acquired Causes of Obstruction - Paediatrics

Chapter: Medicine Study Notes : Paediatrics

Acquired Causes of Obstruction - Paediatrics

In addition to congential causes above (malrotation ® volvulus, atresia, etc): o Hernias o Adhesions (always ask about previous surgery)

Acquired Causes of Obstruction

 

·        In addition to congential causes above (malrotation ® volvulus, atresia, etc):

o  Hernias

o  Adhesions (always ask about previous surgery)

o  Intussusception

o  Volvulus

 

Intussusception

 

·        Peak incidence 3 months – 2 years

·        Usually ileocolic

·        Causes:

o  95% idiopathic

o  5% mechanical: intestinal polyp, Meckel‟s diverticulum, lymphosarcoma (> 6 years old)

·        Symptoms:

o  Often URTI 10 days before (® adenovirus in Payer‟s patch)

o  Initial: severe abdominal colic every 15 – 30 minutes, very well in between

o  Later: red-current jelly stools, prostration, pallor (shock) 

·        Exam: sausage shaped mass ® clinical diagnosis

·        Treatment: 

o  Hydrostatic reduction: blow air or barium up anus at 50% diastolic pressure. Not if small bowel obstruction or peritonitis (barium in peritoneum is nasty)

o  Surgery

 

Study Material, Lecturing Notes, Assignment, Reference, Wiki description explanation, brief detail
Medicine Study Notes : Paediatrics : Acquired Causes of Obstruction - Paediatrics |

Related Topics

Medicine Study Notes : Paediatrics


Privacy Policy, Terms and Conditions, DMCA Policy and Compliant

Copyright © 2018-2023 BrainKart.com; All Rights Reserved. Developed by Therithal info, Chennai.