While children may have the classic presentation of severe colicky pain, bilious vomiting, presence of currant jelly stool
, and lethargy, adults may also have a wide variety of symptoms.
Currant jelly stool
or rectal bleeding, an empty right lower quadrant (RLQ), and a sausage-like mass palpable in the right upper quadrant are other diagnostic clues.
The classic triad of palpable mass, vomiting, and currant jelly stools
is present in less than 15 percent of patients.
This is followed by engorgement of the intussusceptum, edema and bleeding from the mucosa which lead to currant jelly stools.
The clinical presentation having typical triad of severe intermittent abdominal pain, currant jelly stools and vomiting is seen in less than 20% of cases.
Passage of red currant jelly stools
occurred in 30 (60%) patients and fever in 14 (28%) patients.
The classical triad of abdominal pain, palpable mass and passage of red currant jelly stools
described in children is seldom seen in adults.
The classical clinical trial of intussusception namely pain abdomen, palpable sausage shaped mass and red currant jelly stools
, is rare in adults.