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Ileoileal intussusception in children: ultrasonographic differentiation from ileocolic intussusception

Fraukje Wiersma1, Jan H Allema, Herma C Holscher

  • 1Department of Radiology, Location Leyenburg, Haga Teaching Hospital, Leyweg 275, 2545 CH, The Hague, The Netherlands. fwiersma80@hotmail.com

Pediatric Radiology
|October 5, 2006
PubMed

Insights

Ultrasonography effectively distinguishes ileoileal from ileocolic intussusception in children. Key differentiating factors include the intussusception’s diameter and length, aiding accurate diagnosis.

Area of Science:

  • Pediatric Radiology
  • Gastrointestinal Imaging
  • Abdominal Ultrasound

Background:

  • Ileoileal intussusception requires different management than ileocolic intussusception in pediatric patients.
  • Accurate differentiation is crucial for appropriate treatment strategies.

Purpose of the Study:

  • To evaluate the utility of ultrasonography in differentiating ileoileal intussusception from ileocolic intussusception in children.
  • To identify sonographic criteria that distinguish between these two types of intussusception.

Main Methods:

  • Retrospective review of clinical and ultrasonographic findings in 27 pediatric patients diagnosed with intussusception.
  • Statistical analysis using the Mann-Whitney test to compare measurements between ileoileal and ileocolic intussusceptions.

Main Results:

  • Ultrasonography revealed statistically significant differences in diameter (1.5 cm vs 3.7 cm) and length (2.5 cm vs 8.2 cm) between ileoileal and ileocolic intussusceptions.
  • Ileocolic intussusceptions were larger and longer than ileoileal intussusceptions.
  • Location also differed, with ileocolic types predominantly in the right abdomen.

Conclusions:

  • Ultrasonography provides reliable differentiation between ileoileal and ileocolic intussusception, surpassing clinical symptom analysis.
  • Intussusception diameter and length are the primary sonographic parameters for distinguishing between these conditions.
Abstract

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