Related Experiment Video
Updated: May 2, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
1.6K
Diseases mimicking intussusception: diagnostic dilemma
Suleyman Cuneyt Karakus1, Bulent Hayri Ozokutan, Haluk Ceylan
1Department of Pediatric Surgery, Faculty of Medicine, University of Gaziantep, Gaziantep, Turkey.
Summary
Intussusception mimics can be mistaken for true intussusception in children. Careful clinical evaluation alongside imaging is crucial for accurate diagnosis and appropriate management of these conditions.
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
- Gastroenterology
Background:
- Intussusception is a frequent pediatric surgical emergency.
- Accurate diagnosis is vital for timely intervention.
- Diseases mimicking intussusception pose diagnostic challenges.
Purpose of the Study:
- To identify and describe conditions that mimic intussusception in children.
- To discuss the etiology and management strategies for these mimicking conditions.
Main Methods:
- Retrospective review of seven pediatric patients initially diagnosed with intussusception via ultrasound.
- Analysis of final diagnoses, clinical presentations, and management outcomes.
Main Results:
- Conditions like Henoch-Schönlein purpura, cecal tumors, and duplication cysts were found to mimic intussusception.
- Some cases initially diagnosed as intussusception resolved with conservative management or were found to have other pathologies upon surgical exploration.
- Imaging modalities like ultrasonography, CT, and barium enema can be helpful but require clinical correlation.
Conclusions:
- Radiological findings suggestive of intussusception necessitate thorough clinical assessment before surgical intervention.
- Differential diagnosis should include conditions that mimic intussusception.
- Accurate diagnosis prevents unnecessary surgical procedures.
Related Concept Videos
01:29Intestinal Obstruction I: Introduction
51
Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
51
01:25Assessment of the Rectum and Anus
2.1K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
2.1K
01:19Appendicitis
29
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
29
01:07Intestinal Obstruction II: Pathophysiology
47
Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
47
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
663
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
663
01:27Diverticular Disease of the Colon
44
Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
44