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Intestinal invagination


The introduction of the intestines in one another. Often occurs in children (75%), especially at an early age, nursing. Distinguish: the introduction of the small intestine into the colon, the small intestine into the small intestine, the small intestine into the cecum and the large intestine into the colon. The overlying segment of the intestine is embedded in the underlying. There are acute, subacute and chronic forms, the latter is more common in adults. The introduction of the intestine is due to irregular peristalsis with a long spastic condition of the area of ​​the circular muscles. The direct cause can be trauma, swelling of the intestinal wall, ulcer of the intestine, diarrhea and taking laxatives, irritation of the intestinal muscles with ascaris. The frequency of the disease in children is explained by the mobility of the intestine, irritation of its 1? Food slaughter and weaker coordination of muscle contractions of the intestine.
Symptoms and course:
There are abdominal pains, often radiating to the navel, vomiting, sometimes with blood. The stool is fluid and consists of mucus and blood. A sausage-shaped or cylindrical painful swelling can be felt through the abdominal wall. In children (2-12 months) the following symptoms are noted. A completely healthy baby suddenly starts screaming. Screams continue for several minutes, then cease. During an attack, the child knocks his legs, becomes covered in cold sweat, his face turns pale. After 10-30 minutes, the cry is repeated, vomiting appears. There is a discharge of gases, there may be liquid stool. A tumor is felt in the abdominal cavity. After 6-12 hours, mucus and blood begin to stand out from the anus. Signs of intoxication join these phenomena. The permeability of the intestine can be long intact.
Treatment:
Acute intestinal obstruction - operational. Conservative measures are shown only in case of obstruction of the sigmoid colon in the first hours after the onset of the disease. First of all, siphon enemas are used. A colonoscopy may be used. In advanced cases, they resort to bowel resection.