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Gastrointestinal
Diagnosis
Small Intestine
Degenerative
Intussusception
Intussusception
Atif Zaheer, MD; Gabriela Gayer, MD; Michael P. Federle, MD, FACR
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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

                                                1. Brill A et al: Intussusception In adults. StatPearls, 2021
                                                2. Greco S et al: The pseudokidney sign in intussusception. Abdom Radiol (NY). 45(1):241-2, 2020
                                                3. Binkovitz LA et al: Pediatric ileocolic intussusception: new observations and unexpected implications. Pediatr Radiol. 49(1):76-81, 2019
                                                4. Hong KD et al: Adult intussusception: a systematic review and meta-analysis. Tech Coloproctol. 23(4):315-24, 2019
                                                5. 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
                                                6. Wang Q et al: Can intussusceptions of small bowel and colon be transient? A prospective study. Eur J Pediatr. 178(10):1537-44, 2019
                                                7. 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
                                                8. 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
                                                9. Madhavan S et al: Jejunojejunal intussusception: an unusual case of postoperative intestinal obstruction. Ann R Coll Surg Engl. 100(7):e165-7, 2018
                                                10. Edwards EA et al: Intussusception: past, present and future. Pediatr Radiol. 47(9):1101-8, 2017
                                                11. Somma F et al: Bowel intussusceptions in adults: the role of imaging. Radiol Med. 120(1):105-17, 2015
                                                12. Mitchell A et al: Coeliac disease in an adult presenting as intussusception without a lead point. BMJ Case Rep. 2014, 2014
                                                13. Potts J et al: Small bowel intussusception in adults. Ann R Coll Surg Engl. 96(1):11-4, 2014
                                                14. Lianos G et al: Adult bowel intussusception: presentation, location, etiology, diagnosis and treatment. G Chir. 34(9-10):280-3, 2013
                                                15. Lioubashevsky N et al: Ileocolic versus small-bowel intussusception in children: can US enable reliable differentiation? Radiology. 269(1):266-71, 2013
                                                16. El Fortia M et al: Tetra-layered sign of adult intussusception (new ultrasound approach). Ultrasound Med Biol. 32(4):479-82, 2006
                                                17. Henry MC et al: The appendix sign: a radiographic marker for irreducible intussusception. J Pediatr Surg. 41(3):487-9, 2006
                                                18. Mateen MA et al: Transient small bowel intussusceptions: ultrasound findings and clinical significance. Abdom Imaging. 2006
                                                19. Grosfeld JL: Intussusception then and now: a historical vignette. J Am Coll Surg. 201(6):830-3, 2005
                                                20. Kim KH et al: Intussusception after gastric surgery. Endoscopy. 37(12):1237-43, 2005
                                                21. Ouyang EC et al: Ileocolonic intussusception. MedGenMed. 7(3):15, 2005
                                                22. Huang BY et al: Adult intussusception: diagnosis and clinical relevance. Radiol Clin North Am. 41(6):1137-51, 2003
                                                23. Lvoff N et al: Distinguishing features of self-limiting adult small-bowel intussusception identified at CT. Radiology. 227(1):68-72, 2003
                                                24. 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

                                                                                              1. Brill A et al: Intussusception In adults. StatPearls, 2021
                                                                                              2. Greco S et al: The pseudokidney sign in intussusception. Abdom Radiol (NY). 45(1):241-2, 2020
                                                                                              3. Binkovitz LA et al: Pediatric ileocolic intussusception: new observations and unexpected implications. Pediatr Radiol. 49(1):76-81, 2019
                                                                                              4. Hong KD et al: Adult intussusception: a systematic review and meta-analysis. Tech Coloproctol. 23(4):315-24, 2019
                                                                                              5. 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
                                                                                              6. Wang Q et al: Can intussusceptions of small bowel and colon be transient? A prospective study. Eur J Pediatr. 178(10):1537-44, 2019
                                                                                              7. 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
                                                                                              8. 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
                                                                                              9. Madhavan S et al: Jejunojejunal intussusception: an unusual case of postoperative intestinal obstruction. Ann R Coll Surg Engl. 100(7):e165-7, 2018
                                                                                              10. Edwards EA et al: Intussusception: past, present and future. Pediatr Radiol. 47(9):1101-8, 2017
                                                                                              11. Somma F et al: Bowel intussusceptions in adults: the role of imaging. Radiol Med. 120(1):105-17, 2015
                                                                                              12. Mitchell A et al: Coeliac disease in an adult presenting as intussusception without a lead point. BMJ Case Rep. 2014, 2014
                                                                                              13. Potts J et al: Small bowel intussusception in adults. Ann R Coll Surg Engl. 96(1):11-4, 2014
                                                                                              14. Lianos G et al: Adult bowel intussusception: presentation, location, etiology, diagnosis and treatment. G Chir. 34(9-10):280-3, 2013
                                                                                              15. Lioubashevsky N et al: Ileocolic versus small-bowel intussusception in children: can US enable reliable differentiation? Radiology. 269(1):266-71, 2013
                                                                                              16. El Fortia M et al: Tetra-layered sign of adult intussusception (new ultrasound approach). Ultrasound Med Biol. 32(4):479-82, 2006
                                                                                              17. Henry MC et al: The appendix sign: a radiographic marker for irreducible intussusception. J Pediatr Surg. 41(3):487-9, 2006
                                                                                              18. Mateen MA et al: Transient small bowel intussusceptions: ultrasound findings and clinical significance. Abdom Imaging. 2006
                                                                                              19. Grosfeld JL: Intussusception then and now: a historical vignette. J Am Coll Surg. 201(6):830-3, 2005
                                                                                              20. Kim KH et al: Intussusception after gastric surgery. Endoscopy. 37(12):1237-43, 2005
                                                                                              21. Ouyang EC et al: Ileocolonic intussusception. MedGenMed. 7(3):15, 2005
                                                                                              22. Huang BY et al: Adult intussusception: diagnosis and clinical relevance. Radiol Clin North Am. 41(6):1137-51, 2003
                                                                                              23. Lvoff N et al: Distinguishing features of self-limiting adult small-bowel intussusception identified at CT. Radiology. 227(1):68-72, 2003
                                                                                              24. Gayer G et al: Pictorial review: adult intussusception--a CT diagnosis. Br J Radiol. 75(890):185-90, 2002