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Updated: Jul 31, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Clinics in diagnostic imaging (80). Ileocolic intussusception
M C Kim1, P J Strouse, W C G Peh
1Section of Pediatric Radiology, C S Mott Children's Hospital, University of Michigan Health System, Ann Arbor, Michigan, USA.
Insights
Intussusception, a serious infant condition, is accurately diagnosed with ultrasonography. Air enema is a preferred, safe, and effective treatment for reducing intussusception, with ultrasonographically-guided options also available.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Imaging
Background:
- Intussusception is a critical gastrointestinal emergency in infants and young children.
- Early diagnosis and prompt treatment are vital to prevent complications.
Observation:
- A 3-year-old boy presented with abdominal pain and vomiting.
- Ultrasonography revealed the characteristic 'target sign' indicative of intussusception.
- Initial ileocolic intussusception was reduced via air enema.
Findings:
- Recurrent intussusception occurred 12 hours later and was successfully reduced with barium enema.
- Ultrasonography demonstrates high accuracy in diagnosing intussusception.
- Air enema is favored over barium enema due to its safety, speed, and efficacy.
Implications:
- Ultrasonography is a reliable tool for diagnosing pediatric intussusception.
- Air enema offers a safe and effective primary treatment modality.
- Ultrasonographically-guided hydrostatic reduction presents a viable alternative treatment approach.
Abstract:
Intussusception is a common but life threatening gastrointestinal emergency that occurs in the infant or young child. A three-year-old boy presenting with abdominal pain and vomiting was diagnosed to have the target sign on ultrasonography. An ileocolic intussusception was initially reduced using air enema. Recurrent intussusception 12 hours later was reduced by barium enema. In the proper hands, ultrasonography has a high diagnostic accuracy rate for intussusception. For treatment, air enema is usually perferred to barium enema. Air enema is a safe, rapid, and clean procedure that has been shown to achieve a high reduction rate, comparable to that of barium enema. Ultrasonographically-guided hydrostatic reduction of intussusception has also been recently described and is an effective alternative.
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