Site Map

Intussusception – children

Abdominal pain in children - intussusception

Intussusception is the sliding of one part of the intestine into another.

This article focuses on intussusception in children.

Images

Causes

Intussusception is caused by part of the intestine being pulled inward into itself.

The pressure created by the walls of the intestine pressing together causes:

• Decreased blood flow
• Irritation
• Swelling

Intussusception can block the passage of food through the intestine. If the blood supply is cut off, the segment of intestine pulled inside can die. Heavy bleeding may also occur. If a hole develops, infection, shock, and dehydration can take place very rapidly.

The cause of intussusception is not known. Conditions that may lead to the problem include:

• Viral infection
• Enlarged lymph node in the intestine
• Polyp or tumor in the bowel

Intussusception can affect both children and adults. It is more common in boys. It usually affects children ages 5 months to 3 years.

Symptoms

The first sign of intussusception is very often sudden, loud crying caused by abdominal pain. The pain is colicky and not continuous (intermittent), but it comes back often. The pain will get stronger and last longer each time it returns.

An infant with severe abdominal pain may draw the knees to the chest while crying.

Other symptoms include:

• Bloody, mucus-like bowel movement, sometimes called a "currant jelly" stool
• Fever
• Shock (pale color, lethargy, sweating)
• Stool mixed with blood and mucus
• Vomiting

Exams and Tests

Your health care provider will perform a thorough exam, which may reveal a mass in the abdomen. There may also be signs of dehydration or shock.

Tests may include:

• Abdominal ultrasound
• Abdominal x-ray
• Air or contrast enema

Treatment

The child will first be stabilized. A tube will be passed into the stomach through the nose (nasogastric tube). An intravenous (IV) line will be placed in the arm, and fluids will be given to prevent dehydration.

In some cases, the bowel blockage can be treated with an air or contrast enema. This is done by a radiologist skilled with the procedure. There is a risk of bowel tearing (perforation) with this procedure.

The child will need surgery if these treatments do not work. The bowel tissue can very often be saved. Dead tissue will be removed.

Antibiotics may be needed to treat any infection.

Intravenous feeding and fluids will be continued until the child has a normal bowel movement.

Outlook (Prognosis)

The outcome is good with early treatment. There is a risk this problem will come back.

When a hole or tear in the bowel occurs, it must be treated right away. If not treated, intussusception is almost always fatal for infants and young children.

When to Contact a Medical Professional

Intussusception is a medical emergency. Call 911 or go to the emergency room right away.

Related Information

Shock
Dehydration
Abdominal pain

References

Hu YY, Jensen T, Finck C. Surgical conditions of the small intestine in infants and children. In: Yeo CJ, ed. Shackelford's Surgery of the Alimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019:chap 83.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Ileus, adhesions, intussusception, and closed-loop obstructions. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 359.

Maloney PJ. Gastrointestinal disorders. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 171.

BACK TO TOP

Review Date: 2/24/2022  

Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

Health Content Provider 06/01/2025

A.D.A.M., Inc. is accredited by URAC, for Health Content Provider (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics. This site complied with the HONcode standard for trustworthy health information from 1995 to 2022, after which HON (Health On the Net, a not-for-profit organization that promoted transparent and reliable health information online) was discontinued.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2024 A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.