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Ileocolic Intussusception
Steven J. Kraus, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Ileocolic (IC) intussusception: Invagination of distal small bowel (SB) (intussusceptum) into colon (intussuscipiens) in telescope-like manner

          IMAGING

          • General Features

            • Radiographic Findings

              • Ultrasonographic Findings

                • CT Findings

                  • Fluoroscopic 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. Delgado-Miguel C et al: Routine ultrasound control after successful intussusception reduction in children: is it really necessary? Eur J Pediatr Surg. 31(1):115-9, 2021
                                      2. Kelley-Quon LI et al: Management of intussusception in children: a systematic review. J Pediatr Surg. 56(3):587-96, 2021
                                      3. Zhang M et al: Accurately distinguishing pediatric ileocolic intussusception from small-bowel intussusception using ultrasonography. J Pediatr Surg. 56(4):721-6, 2021
                                      4. Goel I et al: Evolving concepts in ultrasonography of pediatric intussusceptions: unequivocal differentiation of ileocolic, obstructive and transient small-bowel intussusceptions. Ultrasound Med Biol. 46(3):589-97, 2020
                                      5. Hernanz-Schulman M: Commentary regarding sedated ultrasound guided saline reduction (SUR) of ileocolic intussusception; 20year experience. J Pediatr Surg. 55(10):2015-6, 2020
                                      6. Ma GMY et al: Air contrast enema reduction of single and recurrent ileocolic intussusceptions in children: patterns, management and outcomes. Pediatr Radiol. 50(5):664-72, 2020
                                      7. Patel DM et al: Radiographic findings predictive of irreducibility and surgical resection in ileocolic intussusception. Pediatr Radiol. 50(9):1249-54, 2020
                                      8. Plut D et al: Practical imaging strategies for intussusception in children. AJR Am J Roentgenol. 215(6):1449-63, 2020
                                      9. Sacks RS et al: Sedated ultrasound guided saline reduction (SUR) of ileocolic intussusception: 20year experience. J Pediatr Surg. 55(10):2009-14, 2020
                                      10. Shubin CE et al: Impact of a standardized clinical pathway for suspected and confirmed ileocolic intussusception. Pediatr Qual Saf. 5(3):e298, 2020
                                      11. 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
                                      12. Tareen F et al: Abdominal radiography is not necessary in children with intussusception. Pediatr Surg Int. 32(1):89-92, 2016
                                      13. 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
                                      14. Khorana J et al: Enema reduction of intussusception: the success rate of hydrostatic and pneumatic reduction. Ther Clin Risk Manag. 11:1837-42, 2015
                                      15. 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
                                      16. Lioubashevsky N et al: Ileocolic versus small-bowel intussusception in children: can US enable reliable differentiation? Radiology. 269(1):266-71, 2013
                                      17. Applegate KE: Intussusception in children: evidence-based diagnosis and treatment. Pediatr Radiol. 39 Suppl 2:S140-3, 2009
                                      18. Applegate KE: Intussusception in children: imaging choices. Semin Roentgenol. 43(1):15-21, 2008
                                      19. Khanna G et al: Ultrasound guided intussusception reduction: are we there yet? Abdom Imaging. 33(1):38-40, 2008
                                      20. Williams H: Imaging and intussusception. Arch Dis Child Educ Pract Ed. 93(1):30-6, 2008
                                      21. Byrne AT et al: The imaging of intussusception. Clin Radiol. 60(1):39-46, 2005
                                      22. Daneman A et al: Intussusception. Part 2: an update on the evolution of management. Pediatr Radiol. 34(2):97-108; quiz 187, 2004
                                      23. 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
                                      24. Daneman A et al: Intussusception. Part 1: a review of diagnostic approaches. Pediatr Radiol. 33(2):79-85, 2003
                                      25. Shiels WE 2nd et al: Air enema for diagnosis and reduction of intussusception: clinical experience and pressure correlates. Radiology. 181(1):169-72, 1991
                                      26. 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

                                                • Ileocolic (IC) intussusception: Invagination of distal small bowel (SB) (intussusceptum) into colon (intussuscipiens) in telescope-like manner

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • Ultrasonographic Findings

                                                    • CT Findings

                                                      • Fluoroscopic 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. Delgado-Miguel C et al: Routine ultrasound control after successful intussusception reduction in children: is it really necessary? Eur J Pediatr Surg. 31(1):115-9, 2021
                                                                          2. Kelley-Quon LI et al: Management of intussusception in children: a systematic review. J Pediatr Surg. 56(3):587-96, 2021
                                                                          3. Zhang M et al: Accurately distinguishing pediatric ileocolic intussusception from small-bowel intussusception using ultrasonography. J Pediatr Surg. 56(4):721-6, 2021
                                                                          4. Goel I et al: Evolving concepts in ultrasonography of pediatric intussusceptions: unequivocal differentiation of ileocolic, obstructive and transient small-bowel intussusceptions. Ultrasound Med Biol. 46(3):589-97, 2020
                                                                          5. Hernanz-Schulman M: Commentary regarding sedated ultrasound guided saline reduction (SUR) of ileocolic intussusception; 20year experience. J Pediatr Surg. 55(10):2015-6, 2020
                                                                          6. Ma GMY et al: Air contrast enema reduction of single and recurrent ileocolic intussusceptions in children: patterns, management and outcomes. Pediatr Radiol. 50(5):664-72, 2020
                                                                          7. Patel DM et al: Radiographic findings predictive of irreducibility and surgical resection in ileocolic intussusception. Pediatr Radiol. 50(9):1249-54, 2020
                                                                          8. Plut D et al: Practical imaging strategies for intussusception in children. AJR Am J Roentgenol. 215(6):1449-63, 2020
                                                                          9. Sacks RS et al: Sedated ultrasound guided saline reduction (SUR) of ileocolic intussusception: 20year experience. J Pediatr Surg. 55(10):2009-14, 2020
                                                                          10. Shubin CE et al: Impact of a standardized clinical pathway for suspected and confirmed ileocolic intussusception. Pediatr Qual Saf. 5(3):e298, 2020
                                                                          11. 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
                                                                          12. Tareen F et al: Abdominal radiography is not necessary in children with intussusception. Pediatr Surg Int. 32(1):89-92, 2016
                                                                          13. 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
                                                                          14. Khorana J et al: Enema reduction of intussusception: the success rate of hydrostatic and pneumatic reduction. Ther Clin Risk Manag. 11:1837-42, 2015
                                                                          15. 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
                                                                          16. Lioubashevsky N et al: Ileocolic versus small-bowel intussusception in children: can US enable reliable differentiation? Radiology. 269(1):266-71, 2013
                                                                          17. Applegate KE: Intussusception in children: evidence-based diagnosis and treatment. Pediatr Radiol. 39 Suppl 2:S140-3, 2009
                                                                          18. Applegate KE: Intussusception in children: imaging choices. Semin Roentgenol. 43(1):15-21, 2008
                                                                          19. Khanna G et al: Ultrasound guided intussusception reduction: are we there yet? Abdom Imaging. 33(1):38-40, 2008
                                                                          20. Williams H: Imaging and intussusception. Arch Dis Child Educ Pract Ed. 93(1):30-6, 2008
                                                                          21. Byrne AT et al: The imaging of intussusception. Clin Radiol. 60(1):39-46, 2005
                                                                          22. Daneman A et al: Intussusception. Part 2: an update on the evolution of management. Pediatr Radiol. 34(2):97-108; quiz 187, 2004
                                                                          23. 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
                                                                          24. Daneman A et al: Intussusception. Part 1: a review of diagnostic approaches. Pediatr Radiol. 33(2):79-85, 2003
                                                                          25. Shiels WE 2nd et al: Air enema for diagnosis and reduction of intussusception: clinical experience and pressure correlates. Radiology. 181(1):169-72, 1991
                                                                          26. Eklof O et al: Reliability of the abdominal plain film diagnosis in pediatric patients with suspected intussusception. Pediatr Radiol. 9(4):199-206, 1980