|
Sign In to gain access to subscriptions and/or personal tools.
|
Intussusception:
A Sonographer's Perspective
Lee Ann Pendergast, RDMS
Kaiser Vallejo Medical Center, Vallejo, California.
Michelle Wilson, BS, APS, RDMS, RDCS
Kaiser Vallejo Medical Center, Vallejo, California.
Intussusception, the invagination of one portion of the intestine into another, is considered a true emergency, which most commonly affects pediatric patients. It occurs when bowel (small or large) telescopes within itself, creating an obstructive mass. Peristalsis exacerbates the more proximal bowel into the lesion, causing the intussusception to have a "sleeve"-like shape. The lesion propagates distally, with obstructive ischemia and possible necrosis occurring over time. With the improvement of technology in diagnostic imaging, sonography has become the initial imaging modality of choice. The authors present a case study and current review of the literature regarding intussusception from a sonographer's viewpoint.
Key Words: intussusception intussusceptum intussuscipiens ultrasound pediatric emergency
References
- 1. DiFiore J: Intussusception. Sem Pediatr Surg 1999;8(4): 214-220.
- 2. Kirks DR: Air intussusception reduction: "the winds of change." Pediatr Radiol 1995;25(2):89-91.[CrossRef][Medline]
[Order article via Infotrieve]
- 3. Losek DJ: Intussusception: don't miss the diagnosis! Pediatr Emer Care 1993;9(1):46-51.
- 4. Stringer M, Pablot S, Brereton R: Paediatric intussuception. Br J Surg 1992;79:867-876.[Medline]
[Order article via Infotrieve]
- 5. Pollack CV, Pender ES: Unusual cases of intussusception. J Emerg Med 1991;9(5):347-355.[Medline]
[Order article via Infotrieve]
- 6. Davies MR, Cywes S: Colonic intussusceptions in children. S Afr Med J 1978;54(13):517-519.[Medline]
[Order article via Infotrieve]
- 7. Littlewood Teele R, Vogel SA: Intussusception: the paediatric radiologist's perspective. Pediatr Surg Int 1998; 14(3):158-162.[Medline]
[Order article via Infotrieve]
- 8. Rumack CM, Wilson SR, Charboneau JW. The pediatric gastrointestinal tract, in Rumack CM, Wilson SR, Charboneau JW (eds): Diagnostic Ultrasound. Vol. 2, 1st ed. Philadelphia, PA, Mosby Year Book, 1991, pp 1210-1213.
- 9. Danerman A, Alton DJ: Intussusception issues and controversies related to diagnosis and reduction. Radiol Clin North Am 1996;34(4):743-756.[Medline]
[Order article via Infotrieve]
- 10. McGahan JP, Goldberg BB: Gastrointestinal tract and peritoneal cavity, in McGahan JP, Goldberg BB (eds): Diagnostic Ultrasound: A Logical Approach. Philadelphia, PA, Lippincott-Raven, 1997, pp 528-533
- 11. Bruce J, Huh YS, Cooney DR, et al. Intussusception: evolution of current management. J Pediatr Gastroenterol Nutr 1987;6(5):663-674.[Medline]
[Order article via Infotrieve]
- 12. Winslow BT, Westfall JM, Nicholas RA: Intussusception. Am Fam Physician 1996;54(1):213-217.[Medline]
[Order article via Infotrieve]
- 13. Winslow BT, Westfall JM, Nicholas RA: Intussusception AAFP patient information handout. Am Fam Physician 1996;54(1).
- 14. Serour F, Klin B, Fried K, et al: Familial intussusception: report of a case with recurrence in the youngest sibling and review of the literature. Eur J Pediatr Surg 1993;3(5):299-301.[Medline]
[Order article via Infotrieve]
- 15. Bramson R, Blickman J: Perforation during hydrostatic reduction of intussusception: proposed mechanism and review of the literature. J Pediatr Surg 1992;27(5):589-591.[CrossRef][Medline]
[Order article via Infotrieve]
- 16. Hayden KC, Swischuk LE: The gastrointestinal tract: intussusception, in: Hayden CK Jr, Swischuk LE (eds): Pediatric Ultrasonography. Los Angeles, Williams & Wilkins, 1987, pp 142-147.
- 17. Tenenbein M, Wiseman NE: Early coma in intussusception: endogenous opioid induced? Pediatr Emerg Care 1987;3:22-23.[Medline]
[Order article via Infotrieve]
- 18. Gorgun-Pauly U, Schultz C, Kohl M, et al: Intussusception in preterm infants: case report and literature review. Eur J Pediatr 1999;158:830-832.[CrossRef][Medline]
[Order article via Infotrieve]
- 19. Gross RE: The Surgery of Infancy and Childhood Intussusception. Philadelphia, PA, W.B. Saunders, 1953.
- 20. Ein SH, Stephens CA: Intussusception: 354 cases in 10 years. J Pediatr Surg 1971;6:16-27.[CrossRef][Medline]
[Order article via Infotrieve]
- 21. Azar T, Berger DL: Adult intussusception. Ann Surg 1997;226:134-138.[CrossRef][Medline]
[Order article via Infotrieve]
- 22. Begos DG, Sandor A, Modlin M: The diagnosis and management of adult intussusception. Am J Surg 1972;173: 88-94.
- 23. Rohrschneider W, Troger J: Intussusception reduction techniques. Pediatr Radiol 1995;25(4):318.[Medline]
[Order article via Infotrieve]
Journal of Diagnostic Medical Sonography, Vol. 19, No. 4,
231-238 (2003)
DOI: 10.1177/8756479303251144

CiteULike Complore Connotea Del.icio.us Digg Reddit Technorati Twitter What's this?
|
|