The introduction of the intestines into one another. Often found in children (75%), especially in infants, infants. There are: the introduction of the small intestine into the colon, small intestine into the small intestine, small intestine into the cecum, and large intestine into the large intestine. The overlying segment of the intestine is introduced into the underlying. There are acute, subacute and chronic forms, the latter is more often observed in adults. The introduction of the intestine is due to irregular motility with a long spastic condition of the circular musculature. The immediate cause may be trauma, swelling of the intestinal wall, intestinal ulcer, diarrhea and the use of laxatives, irritation of the intestinal muscles with roundworms. The frequency of the disease in children is explained by intestinal mobility, irritation of 1 - slaughter with food, and weaker coordination of muscle contractions of the intestine.
Symptoms and course:There are abdominal pains, often with radiation to the navel, vomiting, sometimes with blood. The stool is fluid and consists of mucus and blood. A sausage-shaped or cylindrical painful tumor can be palpated through the abdominal wall. In children (2-12 months), the following symptoms are noted. A completely healthy child suddenly starts screaming. Screams last a few minutes, then stop. During the attack, the child knocks with legs, becomes covered with cold sweat, his face turns pale. After 10-30 minutes, the cry is repeated, vomiting appears. There is an outflow of gases, maybe loose stools. 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. Bowel patency can be intact for a long time.
Treatment:Acute intestinal obstruction - operational. Conservative measures are indicated only for obstruction of the sigmoid colon in the first hours after the onset of the disease. First of all, siphon enemas are used. Colonoscopy may be used. In advanced cases, they resort to bowel resection.