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Gastrointestinal
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Small Bowel Intussusception
Small Bowel Intussusception
Michael R. Aquino, MD, MHSc
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Enteroenteric intussusceptions (small bowel-small bowel)

          • Definitions

            • Telescoping of proximal small bowel segment (intussusceptum) into contiguous distal small bowel segment (intussuscipiens)

          IMAGING

          • General Features

            • Radiographic Findings

              • Ultrasonographic Findings

                • CT Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                Selected References

                                1. Binkovitz LA et al: Pediatric ileocolic intussusception: new observations and unexpected implications. Pediatr Radiol. 49(1):76-81, 2019
                                2. VanHouwelingen LT et al: Use of ultrasound in diagnosing postoperative small-bowel intussusception in pediatric surgical oncology patients: a single-center retrospective review. Pediatr Radiol. 48(2):204-9, 2018
                                3. Lioubashevsky N et al: Ileocolic versus small-bowel intussusception in children: can US enable reliable differentiation? Radiology. 269(1):266-71, 2013
                                4. Yang G et al: Postoperative intussusceptions in children and infants: a systematic review. Pediatr Surg Int. 29(12):1273-9, 2013
                                5. Ko SF et al: Pediatric small bowel intussusception disease: feasibility of screening for surgery with early computed tomographic evaluation. Surgery. 147(4):521-8, 2010
                                6. Munden MM et al: Sonography of pediatric small-bowel intussusception: differentiating surgical from nonsurgical cases. AJR Am J Roentgenol. 188(1):275-9, 2007
                                7. Park NH et al: Ultrasonographic findings of small bowel intussusception, focusing on differentiation from ileocolic intussusception. Br J Radiol. 80(958):798-802, 2007
                                8. Mateen MA et al: Transient small bowel intussusceptions: ultrasound findings and clinical significance. Abdom Imaging. 2006
                                9. Wiersma F et al: Ileoileal intussusception in children: ultrasonographic differentiation from ileocolic intussusception. Pediatr Radiol. 36(11):1177-81, 2006
                                10. Doi O et al: Twenty-one cases of small bowel intussusception: the pathophysiology of idiopathic intussusception and the concept of benign small bowel intussusception. Pediatr Surg Int. 20(2):140-3, 2004
                                11. Kim JH: US features of transient small bowel intussusception in pediatric patients. Korean J Radiol. 5(3):178-84, 2004
                                12. 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
                                13. Sandrasegaran K et al: Proximal small bowel intussusceptions in adults: CT appearance and clinical significance. Abdom Imaging. 29(6):653-7, 2004
                                14. Lvoff N et al: Distinguishing features of self-limiting adult small-bowel intussusception identified at CT. Radiology. 227(1):68-72, 2003
                                15. Strouse PJ et al: Transient small-bowel intussusception in children on CT. Pediatr Radiol. 33(5):316-20, 2003
                                16. Harris JP et al: Sonographic diagnosis of multiple small-bowel intussusceptions in Peutz-Jeghers syndrome: a case report. Pediatr Radiol. 32(9):681-3, 2002
                                17. Ko SF et al: Small bowel intussusception in symptomatic pediatric patients: experiences with 19 surgically proven cases. World J Surg. 26(4):438-43, 2002
                                18. Hughes UM et al: Further report of small-bowel intussusceptions related to gastrojejunostomy tubes. Pediatr Radiol. 30(9):614-7, 2000
                                19. Kornecki A et al: Spontaneous reduction of intussusception: clinical spectrum, management and outcome. Pediatr Radiol. 30(1):58-63, 2000
                                20. Mushtaq N et al: Small bowel intussusception in celiac disease. J Pediatr Surg. 34(12):1833-5, 1999
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Pathology

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Synonyms

                                          • Enteroenteric intussusceptions (small bowel-small bowel)

                                        • Definitions

                                          • Telescoping of proximal small bowel segment (intussusceptum) into contiguous distal small bowel segment (intussuscipiens)

                                        IMAGING

                                        • General Features

                                          • Radiographic Findings

                                            • Ultrasonographic Findings

                                              • CT Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Demographics

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              Selected References

                                                              1. Binkovitz LA et al: Pediatric ileocolic intussusception: new observations and unexpected implications. Pediatr Radiol. 49(1):76-81, 2019
                                                              2. VanHouwelingen LT et al: Use of ultrasound in diagnosing postoperative small-bowel intussusception in pediatric surgical oncology patients: a single-center retrospective review. Pediatr Radiol. 48(2):204-9, 2018
                                                              3. Lioubashevsky N et al: Ileocolic versus small-bowel intussusception in children: can US enable reliable differentiation? Radiology. 269(1):266-71, 2013
                                                              4. Yang G et al: Postoperative intussusceptions in children and infants: a systematic review. Pediatr Surg Int. 29(12):1273-9, 2013
                                                              5. Ko SF et al: Pediatric small bowel intussusception disease: feasibility of screening for surgery with early computed tomographic evaluation. Surgery. 147(4):521-8, 2010
                                                              6. Munden MM et al: Sonography of pediatric small-bowel intussusception: differentiating surgical from nonsurgical cases. AJR Am J Roentgenol. 188(1):275-9, 2007
                                                              7. Park NH et al: Ultrasonographic findings of small bowel intussusception, focusing on differentiation from ileocolic intussusception. Br J Radiol. 80(958):798-802, 2007
                                                              8. Mateen MA et al: Transient small bowel intussusceptions: ultrasound findings and clinical significance. Abdom Imaging. 2006
                                                              9. Wiersma F et al: Ileoileal intussusception in children: ultrasonographic differentiation from ileocolic intussusception. Pediatr Radiol. 36(11):1177-81, 2006
                                                              10. Doi O et al: Twenty-one cases of small bowel intussusception: the pathophysiology of idiopathic intussusception and the concept of benign small bowel intussusception. Pediatr Surg Int. 20(2):140-3, 2004
                                                              11. Kim JH: US features of transient small bowel intussusception in pediatric patients. Korean J Radiol. 5(3):178-84, 2004
                                                              12. 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
                                                              13. Sandrasegaran K et al: Proximal small bowel intussusceptions in adults: CT appearance and clinical significance. Abdom Imaging. 29(6):653-7, 2004
                                                              14. Lvoff N et al: Distinguishing features of self-limiting adult small-bowel intussusception identified at CT. Radiology. 227(1):68-72, 2003
                                                              15. Strouse PJ et al: Transient small-bowel intussusception in children on CT. Pediatr Radiol. 33(5):316-20, 2003
                                                              16. Harris JP et al: Sonographic diagnosis of multiple small-bowel intussusceptions in Peutz-Jeghers syndrome: a case report. Pediatr Radiol. 32(9):681-3, 2002
                                                              17. Ko SF et al: Small bowel intussusception in symptomatic pediatric patients: experiences with 19 surgically proven cases. World J Surg. 26(4):438-43, 2002
                                                              18. Hughes UM et al: Further report of small-bowel intussusceptions related to gastrojejunostomy tubes. Pediatr Radiol. 30(9):614-7, 2000
                                                              19. Kornecki A et al: Spontaneous reduction of intussusception: clinical spectrum, management and outcome. Pediatr Radiol. 30(1):58-63, 2000
                                                              20. Mushtaq N et al: Small bowel intussusception in celiac disease. J Pediatr Surg. 34(12):1833-5, 1999