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Re: The correct answer is D - 15-08-2006, 10:22 PM

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Originally Posted by Oak
The correct answer is D. All of the conditions listed can cause gastrointestinal obstruction, but the clinical presentation is most suggestive of intussusception. In intussusception, there is telescoping of one bowel segment into another, more distal segment. The disorder is relatively common in infants and children due to the poor support offered by their thin mesentery. Intussusception produces intestinal obstruction, and it may produce bowel ischemia or infarction by trapping mesenteric vessels along with the affected segment. In some cases, the intussusception may be reduced by diagnostic barium enema.

Adhesions (choice A) can cause bowel obstruction following surgery or inflammatory bowel diseases.

Congenital pyloric stenosis (choice B) typically presents as projectile vomiting in a 3-4 week old baby.

Hirschsprung's disease (choice C), caused by absence of ganglion cells in the distal bowel, is usually diagnosed in the first few days of life when there is a failure to pass meconium.

Volvulus (choice E) is due to rotation of bowel segments. This is usually a disease of the elderly.
thsnks bro for the answer well iam curious about the sign and symptoms that appers in Intussusception patints so if you are free plese clear me.
well there are diffrent kind of Intussusception just like
colic intussusception
double intussusception
ileal intussusception
ileocecal intussusception
ileocolic intussusception
jejunogastric intussusception
retrograde intussusception
what are diffrent feature in these cases pleae clear me bro.
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