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Intussusception
Rachel F. Magennis, MBChB, DMRD, FRCR; Sathi A. Sukumar, MBBS, FRCP (UK), FRCR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Invagination or telescoping of 1 segment of gastrointestinal tract and its mesentery (intussusceptum) into lumen of adjacent distal segment (intussuscipiens)

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Radiographic Findings

                  • Fluoroscopic Findings

                    • CT Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Aref H et al: Transient small bowel intussusception in an adult: case report with intraoperative video and literature review. BMC Surg. 15(1):36, 2015
                                      2. Kim JS et al: [Conservative management of adult small bowel intussusception detected at abdominal computed tomography.] Korean J Gastroenterol. 65(5):291-6, 2015
                                      3. Hannon E et al: UK intussusception audit: a national survey of practice and audit of reduction rates. Clin Radiol. 69(4):344-9, 2014
                                      4. Potts J et al: Small bowel intussusception in adults. Ann R Coll Surg Engl. 96(1):11-4, 2014
                                      5. Bousseaden A et al: Adult colocolic intussusception diagnosed by ultrasonography: a case report. J Med Case Rep. 5:294, 2011
                                      6. Park NH et al: Ultrasonographic findings of small bowel intussusception, focusing on differentiation from ileocolic intussusception. Br J Radiol. 80(958):798-802, 2007
                                      7. El Fortia M et al: Tetra-layered sign of adult intussusception (new ultrasound approach). Ultrasound Med Biol. 2006
                                      8. Kim YH et al: Adult intestinal intussusception: CT appearances and identification of a causative lead point. Radiographics. 26(3):733-44, 2006
                                      9. Krishnakumar et al: Ultrasound guided hydrostatic reduction in the management of intussusception. Indian J Pediatr. 73(3):217-20, 2006
                                      10. Applegate KE. Related Articles et al: Clinically suspected intussusception in children: evidence-based review and self-assessment module. AJR Am J Roentgenol. 2005
                                      11. Grunshaw ND. Related Articles et al: The imaging of intussusception. Clin Radiol. 2005
                                      12. Choi SH et al: Intussusception in adults: from stomach to rectum. AJR Am J Roentgenol. 183(3):691-8, 2004
                                      13. Lvoff N et al: Distinguishing features of self-limiting adult small-bowel intussusception identified at CT. Radiology. 227(1):68-72, 2003
                                      14. Anderson DR: The pseudokidney sign. Radiology. 211(2):395-7, 1999
                                      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 1 segment of gastrointestinal tract and its mesentery (intussusceptum) into lumen of adjacent distal segment (intussuscipiens)

                                                IMAGING

                                                • General Features

                                                  • Ultrasonographic Findings

                                                    • Radiographic Findings

                                                      • Fluoroscopic Findings

                                                        • CT Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Gross Pathologic & Surgical Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. Aref H et al: Transient small bowel intussusception in an adult: case report with intraoperative video and literature review. BMC Surg. 15(1):36, 2015
                                                                          2. Kim JS et al: [Conservative management of adult small bowel intussusception detected at abdominal computed tomography.] Korean J Gastroenterol. 65(5):291-6, 2015
                                                                          3. Hannon E et al: UK intussusception audit: a national survey of practice and audit of reduction rates. Clin Radiol. 69(4):344-9, 2014
                                                                          4. Potts J et al: Small bowel intussusception in adults. Ann R Coll Surg Engl. 96(1):11-4, 2014
                                                                          5. Bousseaden A et al: Adult colocolic intussusception diagnosed by ultrasonography: a case report. J Med Case Rep. 5:294, 2011
                                                                          6. Park NH et al: Ultrasonographic findings of small bowel intussusception, focusing on differentiation from ileocolic intussusception. Br J Radiol. 80(958):798-802, 2007
                                                                          7. El Fortia M et al: Tetra-layered sign of adult intussusception (new ultrasound approach). Ultrasound Med Biol. 2006
                                                                          8. Kim YH et al: Adult intestinal intussusception: CT appearances and identification of a causative lead point. Radiographics. 26(3):733-44, 2006
                                                                          9. Krishnakumar et al: Ultrasound guided hydrostatic reduction in the management of intussusception. Indian J Pediatr. 73(3):217-20, 2006
                                                                          10. Applegate KE. Related Articles et al: Clinically suspected intussusception in children: evidence-based review and self-assessment module. AJR Am J Roentgenol. 2005
                                                                          11. Grunshaw ND. Related Articles et al: The imaging of intussusception. Clin Radiol. 2005
                                                                          12. Choi SH et al: Intussusception in adults: from stomach to rectum. AJR Am J Roentgenol. 183(3):691-8, 2004
                                                                          13. Lvoff N et al: Distinguishing features of self-limiting adult small-bowel intussusception identified at CT. Radiology. 227(1):68-72, 2003
                                                                          14. Anderson DR: The pseudokidney sign. Radiology. 211(2):395-7, 1999