Journal of Diagnostic Medical Sonography

 

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Journal of Diagnostic Medical Sonography, Vol. 12, No. 1, 39-42 (1996)
DOI: 10.1177/857647939601200108

Ultrasonographic Demonstration of an Intestinal Duplication Cyst As a Leading Point for Intussusception

Menashe Barzilai, MD

Ultrasound Unit, The Radiology Department, Carmel Medical Center, 7 Michal Street, Haifa, Israel.

Zeharya Kovacs, MD

Department of Surgery, Carmel Medical Center and the B. Rappaport Faculty of Medicine, Technion—Israel Institute of Technology, Haifa, Israel.

Aaron Lerner, MD

Department of Pediatrics, Carmel Medical Center and the B. Rappaport Faculty of Medicine, Technion—Israel Institute of Technology, Haifa, Israel.

In the past, leading points causing intussusception were identified either during barium enema performed for reduction of the invaginated bowel or during surgery. A persistent filling defect in the ileocecal region or in the colon was the hallmark of a possible causative factor for the intussusception. In recent years, the ultrasonographic features of intussusception have been defined, and occasionally a leading point has been shown. We present a 4-month-old child in whom an intussusception was diagnosed by ultrasound examination. A duplication cyst was identified in close proximity to the intussusception and was suspected to be the causative factor. This was shown by computed tomography and confirmed at surgery.

Key Words: duplication cyst • intussusception • ultrasound


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