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Intussusception
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. Mitchell A et al: Coeliac disease in an adult presenting as intussusception without a lead point. BMJ Case Rep. 2014, 2014
                                                2. Potts J et al: Small bowel intussusception in adults. Ann R Coll Surg Engl. 96(1):11-4, 2014
                                                3. Lianos G et al: Adult bowel intussusception: presentation, location, etiology, diagnosis and treatment. G Chir. 34(9-10):280-3, 2013
                                                4. El Fortia M et al: Tetra-layered sign of adult intussusception (new ultrasound approach). Ultrasound Med Biol. 32(4):479-82, 2006
                                                5. Henry MC et al: The appendix sign: a radiographic marker for irreducible intussusception. J Pediatr Surg. 41(3):487-9, 2006
                                                6. Mateen MA et al: Transient small bowel intussusceptions: ultrasound findings and clinical significance. Abdom Imaging. 2006
                                                7. Grosfeld JL: Intussusception then and now: a historical vignette. J Am Coll Surg. 201(6):830-3, 2005
                                                8. Kim KH et al: Intussusception after gastric surgery. Endoscopy. 37(12):1237-43, 2005
                                                9. Ouyang EC et al: Ileocolonic intussusception. MedGenMed. 7(3):15, 2005
                                                10. Huang BY et al: Adult intussusception: diagnosis and clinical relevance. Radiol Clin North Am. 41(6):1137-51, 2003
                                                11. Lvoff N et al: Distinguishing features of self-limiting adult small-bowel intussusception identified at CT. Radiology. 227(1):68-72, 2003
                                                12. Saenz De Ormijana J et al: Idiopathic enteroenteric intussusceptions in adults. Abdom Imaging. 28(1):8-11, 2003
                                                13. Gayer G et al: Pictorial review: adult intussusception--a CT diagnosis. Br J Radiol. 75(890):185-90, 2002
                                                14. Fujimoto T et al: Unenhanced CT findings of vascular compromise in association with intussusceptions in adults. AJR Am J Roentgenol. 176(5):1167-71, 2001
                                                15. Warshauer DM et al: Adult intussusception detected at CT or MR imaging: clinical-imaging correlation. Radiology. 212(3):853-60, 1999
                                                16. Catalano O: Transient small bowel intussusception: CT findings in adults. Br J Radiol. 70(836):805-8, 1997
                                                17. Lorigan JG et al: The computed tomographic appearances and clinical significance of intussusception in adults with malignant neoplasms. Br J Radiol. 63(748):257-62, 1990
                                                18. Merine D et al: Enteroenteric intussusception: CT findings in nine patients. AJR Am J Roentgenol. 148(6):1129-32, 1987
                                                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. Mitchell A et al: Coeliac disease in an adult presenting as intussusception without a lead point. BMJ Case Rep. 2014, 2014
                                                                                              2. Potts J et al: Small bowel intussusception in adults. Ann R Coll Surg Engl. 96(1):11-4, 2014
                                                                                              3. Lianos G et al: Adult bowel intussusception: presentation, location, etiology, diagnosis and treatment. G Chir. 34(9-10):280-3, 2013
                                                                                              4. El Fortia M et al: Tetra-layered sign of adult intussusception (new ultrasound approach). Ultrasound Med Biol. 32(4):479-82, 2006
                                                                                              5. Henry MC et al: The appendix sign: a radiographic marker for irreducible intussusception. J Pediatr Surg. 41(3):487-9, 2006
                                                                                              6. Mateen MA et al: Transient small bowel intussusceptions: ultrasound findings and clinical significance. Abdom Imaging. 2006
                                                                                              7. Grosfeld JL: Intussusception then and now: a historical vignette. J Am Coll Surg. 201(6):830-3, 2005
                                                                                              8. Kim KH et al: Intussusception after gastric surgery. Endoscopy. 37(12):1237-43, 2005
                                                                                              9. Ouyang EC et al: Ileocolonic intussusception. MedGenMed. 7(3):15, 2005
                                                                                              10. Huang BY et al: Adult intussusception: diagnosis and clinical relevance. Radiol Clin North Am. 41(6):1137-51, 2003
                                                                                              11. Lvoff N et al: Distinguishing features of self-limiting adult small-bowel intussusception identified at CT. Radiology. 227(1):68-72, 2003
                                                                                              12. Saenz De Ormijana J et al: Idiopathic enteroenteric intussusceptions in adults. Abdom Imaging. 28(1):8-11, 2003
                                                                                              13. Gayer G et al: Pictorial review: adult intussusception--a CT diagnosis. Br J Radiol. 75(890):185-90, 2002
                                                                                              14. Fujimoto T et al: Unenhanced CT findings of vascular compromise in association with intussusceptions in adults. AJR Am J Roentgenol. 176(5):1167-71, 2001
                                                                                              15. Warshauer DM et al: Adult intussusception detected at CT or MR imaging: clinical-imaging correlation. Radiology. 212(3):853-60, 1999
                                                                                              16. Catalano O: Transient small bowel intussusception: CT findings in adults. Br J Radiol. 70(836):805-8, 1997
                                                                                              17. Lorigan JG et al: The computed tomographic appearances and clinical significance of intussusception in adults with malignant neoplasms. Br J Radiol. 63(748):257-62, 1990
                                                                                              18. Merine D et al: Enteroenteric intussusception: CT findings in nine patients. AJR Am J Roentgenol. 148(6):1129-32, 1987