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Ileocolic Intussusception
Steven J. Kraus, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Invagination of distal small bowel (intussusceptum) into colon (intussuscipiens) in telescope-like manner

          IMAGING

          • General Features

            • Radiographic Findings

              • Ultrasonographic Findings

                • Fluoroscopic Findings

                  • CT Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Doniger SJ et al: Point-of-care ultrasonography for the rapid diagnosis of intussusception: a case series. Pediatr Emerg Care. 32(5):340-2, 2016
                                      2. Flaum V et al: Twenty years' experience for reduction of ileocolic intussusceptions by saline enema under sonography control. J Pediatr Surg. 51(1):179-82, 2016
                                      3. Tareen F et al: Abdominal radiography is not necessary in children with intussusception. Pediatr Surg Int. 32(1):89-92, 2016
                                      4. Eisapour A et al: The effect of Midazolam on decreasing the duration of intussusception hydrostatic reduction in children. Med Arch. 69(5):289-92, 2015
                                      5. Khorana J et al: Enema reduction of intussusception: the success rate of hydrostatic and pneumatic reduction. Ther Clin Risk Manag. 11:1837-42, 2015
                                      6. Sadigh G et al: Meta-analysis of air versus liquid enema for intussusception reduction in children. AJR Am J Roentgenol. 205(5):W542-9, 2015
                                      7. Applegate KE: Intussusception in children: evidence-based diagnosis and treatment. Pediatr Radiol. 39 Suppl 2:S140-3, 2009
                                      8. Applegate KE: Intussusception in children: imaging choices. Semin Roentgenol. 43(1):15-21, 2008
                                      9. Khanna G et al: Ultrasound guided intussusception reduction: are we there yet? Abdom Imaging. 33(1):38-40, 2008
                                      10. Williams H: Imaging and intussusception. Arch Dis Child Educ Pract Ed. 93(1):30-6, 2008
                                      11. Byrne AT et al: The imaging of intussusception. Clin Radiol. 2005 Jan;60(1):39-46. Review. Erratum in: Clin Radiol. 60(3):412, 2005
                                      12. Daneman A et al: Intussusception. Part 2: An update on the evolution of management. Pediatr Radiol. 34(2):97-108; quiz 187, 2004
                                      13. Navarro O et al: Intussusception. Part 3: Diagnosis and management of those with an identifiable or predisposing cause and those that reduce spontaneously. Pediatr Radiol. 34(4):305-12; quiz 369, 2004
                                      14. Daneman A et al: Intussusception. Part 1: a review of diagnostic approaches. Pediatr Radiol. 33(2):79-85, 2003
                                      15. Shiels WE 2nd et al: Air enema for diagnosis and reduction of intussusception: clinical experience and pressure correlates. Radiology. 181(1):169-72, 1991
                                      16. Eklof O et al: Reliability of the abdominal plain film diagnosis in pediatric patients with suspected intussusception. Pediatr Radiol. 9(4):199-206, 1980
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Definitions

                                                • Invagination of distal small bowel (intussusceptum) into colon (intussuscipiens) in telescope-like manner

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • Ultrasonographic Findings

                                                    • Fluoroscopic Findings

                                                      • CT Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Doniger SJ et al: Point-of-care ultrasonography for the rapid diagnosis of intussusception: a case series. Pediatr Emerg Care. 32(5):340-2, 2016
                                                                          2. Flaum V et al: Twenty years' experience for reduction of ileocolic intussusceptions by saline enema under sonography control. J Pediatr Surg. 51(1):179-82, 2016
                                                                          3. Tareen F et al: Abdominal radiography is not necessary in children with intussusception. Pediatr Surg Int. 32(1):89-92, 2016
                                                                          4. Eisapour A et al: The effect of Midazolam on decreasing the duration of intussusception hydrostatic reduction in children. Med Arch. 69(5):289-92, 2015
                                                                          5. Khorana J et al: Enema reduction of intussusception: the success rate of hydrostatic and pneumatic reduction. Ther Clin Risk Manag. 11:1837-42, 2015
                                                                          6. Sadigh G et al: Meta-analysis of air versus liquid enema for intussusception reduction in children. AJR Am J Roentgenol. 205(5):W542-9, 2015
                                                                          7. Applegate KE: Intussusception in children: evidence-based diagnosis and treatment. Pediatr Radiol. 39 Suppl 2:S140-3, 2009
                                                                          8. Applegate KE: Intussusception in children: imaging choices. Semin Roentgenol. 43(1):15-21, 2008
                                                                          9. Khanna G et al: Ultrasound guided intussusception reduction: are we there yet? Abdom Imaging. 33(1):38-40, 2008
                                                                          10. Williams H: Imaging and intussusception. Arch Dis Child Educ Pract Ed. 93(1):30-6, 2008
                                                                          11. Byrne AT et al: The imaging of intussusception. Clin Radiol. 2005 Jan;60(1):39-46. Review. Erratum in: Clin Radiol. 60(3):412, 2005
                                                                          12. Daneman A et al: Intussusception. Part 2: An update on the evolution of management. Pediatr Radiol. 34(2):97-108; quiz 187, 2004
                                                                          13. Navarro O et al: Intussusception. Part 3: Diagnosis and management of those with an identifiable or predisposing cause and those that reduce spontaneously. Pediatr Radiol. 34(4):305-12; quiz 369, 2004
                                                                          14. Daneman A et al: Intussusception. Part 1: a review of diagnostic approaches. Pediatr Radiol. 33(2):79-85, 2003
                                                                          15. Shiels WE 2nd et al: Air enema for diagnosis and reduction of intussusception: clinical experience and pressure correlates. Radiology. 181(1):169-72, 1991
                                                                          16. Eklof O et al: Reliability of the abdominal plain film diagnosis in pediatric patients with suspected intussusception. Pediatr Radiol. 9(4):199-206, 1980