Common pediatric surgery problems.pdf
Common pediatric surgery problems.pdf
Common pediatric surgery problems.pdf
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Intussusception<br />
<strong>Common</strong>ly affects children 3 months to 2 yrs<br />
severe crampy abdominal pain (every 10-20 minutes)<br />
vomiting, “currant jelly” stools<br />
tender, sausage-like mass in RUQ<br />
Telescoping of terminal ileum into large intestine<br />
Contrast enema for diagnosis will reduce 80%<br />
air pressure to 120 mmHg, barium to 100 cm H 2O<br />
10% recurrence, often within hours<br />
OR reduction if not reduced radiographically<br />
5% of patients need resection
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