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US features of transient small bowel intussusception in pediatric patients

Ji Hye Kim1

  • 1Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Kangnam-gu, Seoul, Korea. jhkate.kim@samsung.com

Korean Journal of Radiology
|October 7, 2004
PubMed

Insights

Spontaneously reduced small bowel intussusception in children often shows typical ultrasound features. Conservative management with ultrasound monitoring is recommended for these cases, avoiding immediate surgery.

Area of Science:

  • Pediatric radiology
  • Gastrointestinal imaging
  • Abdominal ultrasonography

Background:

  • Intussusception is a common cause of bowel obstruction in infants and children.
  • Spontaneous reduction of small bowel intussusception can occur, posing diagnostic challenges.
  • Accurate diagnosis and appropriate management are crucial to prevent complications.

Purpose of the Study:

  • To characterize the sonographic and clinical features of spontaneously reduced small bowel intussusception.
  • To evaluate management strategies for small bowel intussusception based on ultrasound findings and clinical presentation.

Main Methods:

  • A retrospective review of 34 cases of small bowel intussusception diagnosed via ultrasound over five years.
  • Analysis of clinical presentations and detailed imaging findings, including color Doppler.
  • Confirmation of spontaneous reduction using various imaging modalities and surgical exploration when necessary.

Main Results:

  • Typical ultrasound findings included small, short-segment, multi-layered masses with preserved peristalsis and no lead point.
  • Clinical presentations varied, commonly including abdominal pain and irritability.
  • Spontaneous reduction was confirmed in most cases, with all patients improving without immediate surgery.

Conclusions:

  • Transient small bowel intussusception exhibits characteristic ultrasound features: small size, short segment, preserved wall motion, and absence of a lead point.
  • Conservative management with ultrasound monitoring is advised for typical cases.
  • Atypical findings or clinical deterioration necessitate surgical exploration.
Abstract

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