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Article: Ileoileocolic intussusception in children: Diagnosis and significance

TitleIleoileocolic intussusception in children: Diagnosis and significance
Authors
Issue Date1997
PublisherBritish Institute of Radiology - BJR. The Journal's web site is located at http://bjr.birjournals.org
Citation
British Journal Of Radiology, 1997, v. 70 SEPT., p. 891-896 How to Cite?
Abstract
The ileoileocolic type of childhood intussusception is difficult to diagnose pre-operatively and is associated with increased morbidity. This study describes the clinical and imaging features of 10 consecutive ileoileocolic intussusceptions diagnosed ultrasonically in 10 patients over a 36 month period. Ultrasound-guided hydrostatic reduction using Hartmann's solution was attempted in all 10 patients. Clinical and imaging features were compared with those of 28 ileocolic intussusceptions in 25 patients diagnosed and treated using the same methods during the same period. Most of the clinical and plain radiographic features of the patients with the ileoileocolic and ileocolic types of intussusception were similar. The two types of intussusception had the classical doughnut or pseudokidney, or both, signs on pre-reduction ultrasound scans. During the reduction process, when surrounded by fluid within the caecal lumen, the ileoileocolic type of intussusception had a typical complex appearance due to frond-like loops of intussuscepted small bowel. This finding was present in all cases. The hydrostatic reduction rate was only 10% (1/10) for ileoileocolic intussusception, compared with 92.9% (26/28) for the ileocolic type. All unsuccessfully-reduced cases underwent surgery, with surgical confirmation of the intussusception type in all cases. Only one patient was found to have a lead point, caused by a Meckel's diverticulum. In conclusion, the diagnosis of ileoileocolic intussusception can be made pre-operatively and these patients require surgical management.
Persistent Identifierhttp://hdl.handle.net/10722/49013
ISSN
2013 Impact Factor: 1.533
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorPeh, WCGen_HK
dc.contributor.authorKhong, PLen_HK
dc.contributor.authorLam, Cen_HK
dc.contributor.authorChan, KLen_HK
dc.contributor.authorSaing, Hen_HK
dc.contributor.authorCheng, Wen_HK
dc.contributor.authorMya, GHen_HK
dc.contributor.authorLam, WWMen_HK
dc.contributor.authorLeong, LLYen_HK
dc.contributor.authorLow, LCKen_HK
dc.date.accessioned2008-06-12T06:32:15Z-
dc.date.available2008-06-12T06:32:15Z-
dc.date.issued1997en_HK
dc.identifier.citationBritish Journal Of Radiology, 1997, v. 70 SEPT., p. 891-896en_HK
dc.identifier.issn0007-1285en_HK
dc.identifier.urihttp://hdl.handle.net/10722/49013-
dc.description.abstractThe ileoileocolic type of childhood intussusception is difficult to diagnose pre-operatively and is associated with increased morbidity. This study describes the clinical and imaging features of 10 consecutive ileoileocolic intussusceptions diagnosed ultrasonically in 10 patients over a 36 month period. Ultrasound-guided hydrostatic reduction using Hartmann's solution was attempted in all 10 patients. Clinical and imaging features were compared with those of 28 ileocolic intussusceptions in 25 patients diagnosed and treated using the same methods during the same period. Most of the clinical and plain radiographic features of the patients with the ileoileocolic and ileocolic types of intussusception were similar. The two types of intussusception had the classical doughnut or pseudokidney, or both, signs on pre-reduction ultrasound scans. During the reduction process, when surrounded by fluid within the caecal lumen, the ileoileocolic type of intussusception had a typical complex appearance due to frond-like loops of intussuscepted small bowel. This finding was present in all cases. The hydrostatic reduction rate was only 10% (1/10) for ileoileocolic intussusception, compared with 92.9% (26/28) for the ileocolic type. All unsuccessfully-reduced cases underwent surgery, with surgical confirmation of the intussusception type in all cases. Only one patient was found to have a lead point, caused by a Meckel's diverticulum. In conclusion, the diagnosis of ileoileocolic intussusception can be made pre-operatively and these patients require surgical management.en_HK
dc.format.extent418 bytes-
dc.format.mimetypetext/html-
dc.languageengen_HK
dc.publisherBritish Institute of Radiology - BJR. The Journal's web site is located at http://bjr.birjournals.orgen_HK
dc.relation.ispartofBritish Journal of Radiologyen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshIleal Diseases - therapy - ultrasonographyen_HK
dc.subject.meshIntussusception - therapy - ultrasonographyen_HK
dc.subject.meshProspective Studiesen_HK
dc.subject.meshRecurrenceen_HK
dc.subject.meshTreatment Outcomeen_HK
dc.titleIleoileocolic intussusception in children: Diagnosis and significanceen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0007-1285&volume=70&issue=837&spage=891&epage=896&date=1997&atitle=Ileoileocolic+intussusception+in+children:+diagnosis+and+significanceen_HK
dc.identifier.emailKhong, PL: plkhong@hkucc.hku.hken_HK
dc.identifier.emailLow, LCK: lcklow@hkucc.hku.hken_HK
dc.identifier.authorityKhong, PL=rp00467en_HK
dc.identifier.authorityLow, LCK=rp00337en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid9486064en_HK
dc.identifier.scopuseid_2-s2.0-0030760068en_HK
dc.identifier.hkuros28450-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030760068&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume70en_HK
dc.identifier.issueSEPT.en_HK
dc.identifier.spage891en_HK
dc.identifier.epage896en_HK
dc.identifier.isiWOS:A1997XW04600004-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridPeh, WCG=7101824984en_HK
dc.identifier.scopusauthoridKhong, PL=7006693233en_HK
dc.identifier.scopusauthoridLam, C=14119182300en_HK
dc.identifier.scopusauthoridChan, KL=37004089600en_HK
dc.identifier.scopusauthoridSaing, H=7005715754en_HK
dc.identifier.scopusauthoridCheng, W=7402169228en_HK
dc.identifier.scopusauthoridMya, GH=6602928992en_HK
dc.identifier.scopusauthoridLam, WWM=35292558200en_HK
dc.identifier.scopusauthoridLeong, LLY=7004323766en_HK
dc.identifier.scopusauthoridLow, LCK=7007049461en_HK

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