Article: Ileoileocolic intussusception in children: Diagnosis and significance

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TitleIleoileocolic intussusception in children: Diagnosis and significance
AuthorsPeh, WCG1
Khong, PL1
Lam, C1
Chan, KL1
Saing, H1
Cheng, W1
Mya, GH1
Lam, WWM1
Leong, LLY1
Low, LCK1
Issue Date1997
PublisherBritish Institute of Radiology - BJR. The Journal's web site is located at http://bjr.birjournals.org
CitationBritish Journal Of Radiology, 1997, v. 70 SEPT., p. 891-896 [How to Cite?]
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.
ISSN0007-1285
2011 Impact Factor: 1.314
2011 SCImago Journal Rankings: 0.119
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorPeh, WCG
dc.contributor.authorKhong, PL
dc.contributor.authorLam, C
dc.contributor.authorChan, KL
dc.contributor.authorSaing, H
dc.contributor.authorCheng, W
dc.contributor.authorMya, GH
dc.contributor.authorLam, WWM
dc.contributor.authorLeong, LLY
dc.contributor.authorLow, LCK
dc.date.accessioned2008-06-12T06:32:15Z
dc.date.available2008-06-12T06:32:15Z
dc.date.issued1997
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.
dc.description.naturepublished_or_final_version
dc.format.extent418 bytes
dc.format.mimetypetext/html
dc.identifier.citationBritish Journal Of Radiology, 1997, v. 70 SEPT., p. 891-896 [How to Cite?]
dc.identifier.epage896
dc.identifier.hkuros28450
dc.identifier.isiWOS:A1997XW04600004
dc.identifier.issn0007-1285
2011 Impact Factor: 1.314
2011 SCImago Journal Rankings: 0.119
dc.identifier.issueSEPT.
dc.identifier.openurl
dc.identifier.pmid9486064
dc.identifier.scopuseid_2-s2.0-0030760068
dc.identifier.spage891
dc.identifier.urihttp://hdl.handle.net/10722/49013
dc.identifier.volume70
dc.languageeng
dc.publisherBritish Institute of Radiology - BJR. The Journal's web site is located at http://bjr.birjournals.org
dc.publisher.placeUnited Kingdom
dc.relation.ispartofBritish Journal of Radiology
dc.relation.referencesReferences in Scopus
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
dc.subject.meshIleal Diseases - therapy - ultrasonography
dc.subject.meshIntussusception - therapy - ultrasonography
dc.subject.meshProspective Studies
dc.subject.meshRecurrence
dc.subject.meshTreatment Outcome
dc.titleIleoileocolic intussusception in children: Diagnosis and significance
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong