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Intestinal obstruction (pediatric) - series
Intussusception is suspected if the child has experienced sudden, severe abdominal pain, blood and mucous in the stool, and vomiting. Abdominal X-rays are usually taken to confirm the diagnosis. A barium enema may be used for diagnosis. Barium, a heavy, radio-opaque dye, is administered through the rectum, fills the bowel, and allows for visualization of the bowel by x-rays. This procedure is sometimes successful in correcting the problem- the weight of the barium itself in the bowel frequently reduces the telescoped bowel. If intussusception is diagnosed and not corrected by barium enema, surgery is necessary IMMEDIATELY to prevent complications such as obstruction, gangrenous bowel and peritonitis.
Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Ann Rogers, MD, Associate Professor of Surgery; Director, Penn State Surgical Weight Loss Program, Penn State Milton S. Hershey Medical Center. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
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