Invagination or telescoping of proximal segment of bowel (intussusceptum) into lumen of distal segment (intussuscipiens)
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Brill A et al: Intussusception In adults. StatPearls, 2021
Greco S et al: The pseudokidney sign in intussusception. Abdom Radiol (NY). 45(1):241-2, 2020
Binkovitz LA et al: Pediatric ileocolic intussusception: new observations and unexpected implications. Pediatr Radiol. 49(1):76-81, 2019
Hong KD et al: Adult intussusception: a systematic review and meta-analysis. Tech Coloproctol. 23(4):315-24, 2019
Michiels S et al: Anterograde jejunojejunal intussusception through the distal anastomosis as complication after Roux-en-Y gastric bypass. Acta Chir Belg. 119(6):400-3, 2019
Wang Q et al: Can intussusceptions of small bowel and colon be transient? A prospective study. Eur J Pediatr. 178(10):1537-44, 2019
Zhao L et al: Clinical characteristics and surgical outcome in children with intussusceptions secondary to pathologic lead points: retrospective study in a single institution. Pediatr Surg Int. 35(7):807-11, 2019
Al-Radaideh AM et al: Adult intussusception: a 14-year retrospective study of clinical assessment and computed tomography diagnosis. Acta Gastroenterol Belg. 81(3):367-72, 2018
Madhavan S et al: Jejunojejunal intussusception: an unusual case of postoperative intestinal obstruction. Ann R Coll Surg Engl. 100(7):e165-7, 2018
Edwards EA et al: Intussusception: past, present and future. Pediatr Radiol. 47(9):1101-8, 2017
Somma F et al: Bowel intussusceptions in adults: the role of imaging. Radiol Med. 120(1):105-17, 2015
Mitchell A et al: Coeliac disease in an adult presenting as intussusception without a lead point. BMJ Case Rep. 2014, 2014
Potts J et al: Small bowel intussusception in adults. Ann R Coll Surg Engl. 96(1):11-4, 2014
Lianos G et al: Adult bowel intussusception: presentation, location, etiology, diagnosis and treatment. G Chir. 34(9-10):280-3, 2013
Lioubashevsky N et al: Ileocolic versus small-bowel intussusception in children: can US enable reliable differentiation? Radiology. 269(1):266-71, 2013
El Fortia M et al: Tetra-layered sign of adult intussusception (new ultrasound approach). Ultrasound Med Biol. 32(4):479-82, 2006
Henry MC et al: The appendix sign: a radiographic marker for irreducible intussusception. J Pediatr Surg. 41(3):487-9, 2006
Mateen MA et al: Transient small bowel intussusceptions: ultrasound findings and clinical significance. Abdom Imaging. 2006
Grosfeld JL: Intussusception then and now: a historical vignette. J Am Coll Surg. 201(6):830-3, 2005
Kim KH et al: Intussusception after gastric surgery. Endoscopy. 37(12):1237-43, 2005
Ouyang EC et al: Ileocolonic intussusception. MedGenMed. 7(3):15, 2005
Huang BY et al: Adult intussusception: diagnosis and clinical relevance. Radiol Clin North Am. 41(6):1137-51, 2003
Lvoff N et al: Distinguishing features of self-limiting adult small-bowel intussusception identified at CT. Radiology. 227(1):68-72, 2003
Gayer G et al: Pictorial review: adult intussusception--a CT diagnosis. Br J Radiol. 75(890):185-90, 2002
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Definitions
Invagination or telescoping of proximal segment of bowel (intussusceptum) into lumen of distal segment (intussuscipiens)
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Brill A et al: Intussusception In adults. StatPearls, 2021
Greco S et al: The pseudokidney sign in intussusception. Abdom Radiol (NY). 45(1):241-2, 2020
Binkovitz LA et al: Pediatric ileocolic intussusception: new observations and unexpected implications. Pediatr Radiol. 49(1):76-81, 2019
Hong KD et al: Adult intussusception: a systematic review and meta-analysis. Tech Coloproctol. 23(4):315-24, 2019
Michiels S et al: Anterograde jejunojejunal intussusception through the distal anastomosis as complication after Roux-en-Y gastric bypass. Acta Chir Belg. 119(6):400-3, 2019
Wang Q et al: Can intussusceptions of small bowel and colon be transient? A prospective study. Eur J Pediatr. 178(10):1537-44, 2019
Zhao L et al: Clinical characteristics and surgical outcome in children with intussusceptions secondary to pathologic lead points: retrospective study in a single institution. Pediatr Surg Int. 35(7):807-11, 2019
Al-Radaideh AM et al: Adult intussusception: a 14-year retrospective study of clinical assessment and computed tomography diagnosis. Acta Gastroenterol Belg. 81(3):367-72, 2018
Madhavan S et al: Jejunojejunal intussusception: an unusual case of postoperative intestinal obstruction. Ann R Coll Surg Engl. 100(7):e165-7, 2018
Edwards EA et al: Intussusception: past, present and future. Pediatr Radiol. 47(9):1101-8, 2017
Somma F et al: Bowel intussusceptions in adults: the role of imaging. Radiol Med. 120(1):105-17, 2015
Mitchell A et al: Coeliac disease in an adult presenting as intussusception without a lead point. BMJ Case Rep. 2014, 2014
Potts J et al: Small bowel intussusception in adults. Ann R Coll Surg Engl. 96(1):11-4, 2014
Lianos G et al: Adult bowel intussusception: presentation, location, etiology, diagnosis and treatment. G Chir. 34(9-10):280-3, 2013
Lioubashevsky N et al: Ileocolic versus small-bowel intussusception in children: can US enable reliable differentiation? Radiology. 269(1):266-71, 2013
El Fortia M et al: Tetra-layered sign of adult intussusception (new ultrasound approach). Ultrasound Med Biol. 32(4):479-82, 2006
Henry MC et al: The appendix sign: a radiographic marker for irreducible intussusception. J Pediatr Surg. 41(3):487-9, 2006
Mateen MA et al: Transient small bowel intussusceptions: ultrasound findings and clinical significance. Abdom Imaging. 2006
Grosfeld JL: Intussusception then and now: a historical vignette. J Am Coll Surg. 201(6):830-3, 2005
Kim KH et al: Intussusception after gastric surgery. Endoscopy. 37(12):1237-43, 2005
Ouyang EC et al: Ileocolonic intussusception. MedGenMed. 7(3):15, 2005
Huang BY et al: Adult intussusception: diagnosis and clinical relevance. Radiol Clin North Am. 41(6):1137-51, 2003
Lvoff N et al: Distinguishing features of self-limiting adult small-bowel intussusception identified at CT. Radiology. 227(1):68-72, 2003
Gayer G et al: Pictorial review: adult intussusception--a CT diagnosis. Br J Radiol. 75(890):185-90, 2002
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