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[Ultrasonographic findings of intussusception complicated by intestinal necrosis in children]

Wen-Juan Chen1, Hao-Rong Zhang, Jin-Qiao Liu

  • 1Department of Ultrasound, Hunan Children's Hospital, Changsha 410007, China. chenwjok@126.com

Zhongguo Dang Dai Er Ke Za Zhi = Chinese Journal of Contemporary Pediatrics
|April 25, 2008
PubMed

Insights

Ultrasonography can identify specific features of pediatric intussusception with intestinal necrosis. These findings, including bowel wall thickening and fluidification, aid in selecting appropriate reduction methods for this critical condition.

Area of Science:

  • Pediatric radiology
  • Gastrointestinal imaging
  • Surgical pathology

Background:

  • Limited information exists on ultrasonographic features of pediatric intussusception with intestinal necrosis.
  • Accurate diagnosis is crucial for timely and effective intervention.

Purpose of the Study:

  • To investigate ultrasonographic findings in children with intussusception complicated by intestinal necrosis.
  • To provide references for selecting appropriate reduction methods.

Main Methods:

  • Retrospective review of ultrasonographic findings in 48 children.
  • Children underwent operative reduction between 2004 and 2006.

Main Results:

  • Ileocolonic intussusception was most common in necrosis.
  • Necrosis signs included thickened bowel walls, fluidification, and absent enterokinesia.
  • Seroperitoneum was a common finding.

Conclusions:

  • Distinct sonographic characteristics identify pediatric intussusception with intestinal necrosis.
  • Ultrasonography guides the selection of intussusception reduction techniques.
Abstract

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