انغلاف الأمعاء اللفائفي-اللفائفي مع أعراض خفيفة وجزء أمعاء متضرر صغير (2-3 سم)

References

• Ileo-ileal intussusception, involving invagination of two small bowel segments, may present with mild symptoms. This type of intussusception is more likely to resolve spontaneously and rarely requires enema reduction, as ischaemia is rare. This is generally the manifestation of viral illness and usually self resolves if the affected area is small (2-3cm)
• The enema may be used diagnostically and therapeutically in consultation with a surgical team.
• Appropriate peri-procedural analgesia is necessary, is usually intranasal fentanyl or IV morphine, see Acute pain management
• Procedural sedation by an experienced clinician should be strongly considered, as this may improve the success rate of non-operative reduction, both hydrostatic and pneumatic enema