The following procedure will assist the healthcare provider in diagnosing Intussusception.
- Physical examination: Healthcare provider will conduct physical examination and will ask for the history of the problem’s symptoms. A sausage-shaped bulge in the stomach could be palpable to the healthcare provider.
Although an abdominal mass may occasionally be felt during a physical examination due to intussusception, ultrasonography is the first radiologic test recommended for patients who are suspected of having the condition since it can diagnose the mass with 100% accuracy.
- Imaging test: Intussusception-related intestinal obstruction may be detected using ultrasound, X-ray, or computerized tomography (CT) scan. The intestinal tract is frequently seen on imaging as a “bull’s-eye,” the intestine coiling inside the intestine. If the intestine has been perforated, abdominal imaging can also reveal this.
- Enema: Additionally, air contrast and barium enema are used to help in the diagnosis of intussusception.
Intussusception is frequently seen as a medical emergency. To avoid serious dehydration, shock, and infection that can happen when a section of the intestine dies due to a lack of blood, immediate medical attention is necessary. These are several possible treatments for intussusception.
- Water soluble contrast or air enema: The procedure serves as both a diagnosis and a treatment. Usually, additional therapy is not required if an enema is successful. In fact, 90% of the time, intussusception in children can be resolved with this treatment alone. This method cannot be utilized if the intestine is perforated. Additionally, the risk of complications is minimal. Surgery is required if the intestine is torn, an enema is unable to resolve the issue, or a lead point causes the problem.
Up to 20% of the time, intussusception will return, requiring repeated treatment. Even if an enema is intended as part of the treatment, it is crucial to consult a surgeon. This is due to the possibility that this therapy will cause a bowel tear or rupture.
- Surgery: The surgeon will release the obstructed section of the intestine, remove the obstruction, and, if required, remove any dead intestinal tissue. The primary treatment option for adults and those who are seriously ill is surgery.