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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
2012 Impact Factor: 1.217
2012 SCImago Journal Rankings: 0.481
 
ISI Accession Number IDWOS:A1997XW04600004
 
ReferencesReferences in Scopus
 
DC FieldValue
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
2012 Impact Factor: 1.217
2012 SCImago Journal Rankings: 0.481
 
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
 
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Author Affiliations
  1. The University of Hong Kong