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afya
Intussusception
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> describes invagination of one portion of bowel into the lumen of the adjacent bowel, most commonly around the ileo-caecal region. 6-18/12 old Boys>girls (x2) ''Features'' paroxysmal abdominal colic pain during paroxysm the infant will characteristically draw their knees up and turn pale vomiting blood stained stool - 'red-currant jelly' sausage-shaped mass in the abdomen ''Investigation'' ultrasound is now the investigation of choice and may show a target-like mass ''Management'' the majority of children can be treated with reduction by air insufflation under radiological control, which is now widely used first-line compared to the traditional barium enema if this fails, or the child has signs of peritonitis, surgery is performed
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