scholarly journals Paediatric small-bowel intussusception on ultrasound – a case report with differentiating features from the ileocolic subtype

2021 ◽  
Vol 21 (84) ◽  
pp. e70-e73
Author(s):  
Pushkar Mendiratta ◽  
◽  
Anurav Yadav ◽  
Nitin Borse ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Clinical Features ◽  
Patient Management ◽  
Ultrasound Examination ◽  
Emergency Ultrasound ◽  
Case Description ◽  
Imaging Findings ◽  
Paediatric Emergency ◽  
Small Bowel Intussusception

Aim of the study: Intussusception is a common paediatric emergency which can be diagnosed with relative certainty by ultrasonography in trained hands. Both the ileocolic and small-bowel intussusception have overlapping clinical features and imaging findings on ultrasound. The aim is to differentiate between both subtypes based on selective differentiating features which should always be looked for while performing an ultrasound examination in suspected cases. Differentiating between the two subtypes is essential, since patient management may differ depending on the subtype. Case description: We present a case of a 12-year-old boy who presented to our hospital with pain in the abdomen. An emergency ultrasound revealed findings suggestive of small- bowel intussusception. A brief description of the differentiating points from the ileocolic subtype is also described. Conclusions: Based on the features described, it is possible to confidently differentiate between the two subtypes, which is a guiding factor for treatment.

scholarly journals Intussusceptions in Adults: A Retrospective Interventional Series of Cases

1970 ◽  
Vol 8 (3) ◽  
pp. 158-165 ◽  
Author(s):  
Rakesh Kr Gupta ◽  
Chandra Shekhar Agrawal ◽  
Rohit Yadav ◽  
Amir Bajracharya ◽  
Panna Lal Sah
Keyword(s):  
Small Bowel ◽  
Diagnostic Accuracy ◽  
Ct Scan ◽  
Clinical Features ◽  
Retrospective Review ◽  
Large Bowel ◽  
Ct Scanning ◽  
Adult Intussusception ◽  
Small Bowel Intussusception ◽  
Intestinal Obstructions

Background: Intussusception is a different entity in adults than it is in children and is usually secondary to a definable pathology. Objective: To review adult intussusception: clinical features, diagnosis and their management. Subjects and methods: A retrospective review of 38 cases of intussusception in individuals older than 18 years of age presenting to BPKIHS Dharan, Nepal from January 2003 to December 2009 was done. Results: In six years, there were thirty-eight patients of surgically proven adult intussusception. The patients. mean age was 49.6 ± 16.2 years, M: F ratio was 1.3:1. Intestinal obstructions of various extents were the commonest presentation in twenty-seven patients (71%). There were 42% enteric, 32% ileocolic and 26% colonic AI. The diagnostic accuracy of the ultrasonography was 78.5%, CT scan was 90% and colonoscopy was 100%. The pathological lesions were found in 94% of AI. Among the pathological lesion, enteric have 62% benign, 38% malignant, ileocolic have 50% benign, 50% malignant, and in colocolic 70% malignant, 30% benign. In enteric AI, 68% were reduced successfully, 25% reduction was not attempted. Of ileocolic AI, 58.3% were reduced successfully, 41.6% had resection without reduction. Of colocolic AI, 30% of them were reduced successfully before resection, 70% had resection without reduction. Conclusion: CT scanning is the most useful diagnostic radiologic method in AI. Colonoscopy is the most accurate in ileocolic and colonic AI. Small-bowel intussusception should be reduced before resection if the underlying etiology is suspected to be benign or if the resection required without reduction is deemed to be massive. Large bowel should generally be resected without reduction because pathology is mostly malignant. Keywords: Adult intussusception (AI); Bowel obstruction; CT scan DOI: 10.3126/hren.v8i3.4208Health Renaissance, September-December 2010; Vol 8 (No.3);158-165

scholarly journals Small bowel intussusception together with appendicitis in childhood: A case report

2015 ◽  
Vol 3 (1) ◽  
pp. 25-26
Author(s):  
Sezen Karaca Ozkisacik ◽  
Ali Onur Erdem ◽  
Ozge Coskun ◽  
Mesut Yazici
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Small Bowel Intussusception
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