All are true about intussusception except
**Core Concept**
Intussusception is a serious medical condition where a part of the intestine invaginates into another section, leading to bowel obstruction and potentially life-threatening complications. The pathophysiology involves the telescoping of the intestine, causing ischemia, and potentially necrosis of the affected segment.
**Why the Correct Answer is Right**
Intussusception typically occurs in children, but it can also affect adults, often due to a lead point such as a tumor, polyp, or other mass lesion. The condition is characterized by abdominal pain, vomiting, and bloody stools. On physical examination, a palpable "sausage-like" mass may be felt in the abdomen. The treatment of choice is urgent surgical intervention, often involving reduction of the intussusception and resection of the affected segment if necrosis is present.
**Why Each Wrong Option is Incorrect**
* **Option A:** Intussusception is not typically associated with abdominal trauma. While trauma can cause bowel injury, it is not a common cause of intussusception.
* **Option B:** Intussusception can occur in adults, but it is much more common in children. The condition often requires urgent surgical intervention, regardless of age.
* **Option C:** Intussusception is not a complication of appendicitis. While both conditions involve the gastrointestinal tract, they are distinct and separate entities.
**Clinical Pearl / High-Yield Fact**
The "classic triad" of intussusception includes abdominal pain, vomiting, and bloody stools. However, not all patients will exhibit all three symptoms, and a high index of suspicion is necessary for diagnosis.
**Correct Answer:** A.