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Accurately distinguishing pediatric ileocolic intussusception from small-bowel intussusception using ultrasonography

Min Zhang1, Xiaohui Zhou1, Qiang Hu1

  • 1Department of Ultrasound Diagnostics, Changsha Central Hospital, Nanhua University, 161 Shaoshan South Road, Yuhua District, Changsha, Hunan 410004, P.R. China.

Journal of Pediatric Surgery
|July 20, 2020
PubMed

Insights

Ultrasonography effectively differentiates small-bowel intussusception (SBI) from ileocolic intussusception by analyzing lesion characteristics and the location of normal anatomy. This diagnostic approach helps avoid misdiagnosis in pediatric patients.

Area of Science:

  • Pediatric Radiology
  • Gastrointestinal Imaging
  • Diagnostic Ultrasound

Background:

  • Ileocolic intussusception and small-bowel intussusception (SBI) require different clinical treatments.
  • Accurate differentiation is crucial to avoid misdiagnosis and ensure appropriate management.

Purpose of the Study:

  • To analyze ultrasonographic differences between ileocolic intussusception and SBI in pediatric patients.
  • To establish ultrasonographic criteria for distinguishing these two types of intussusception.

Main Methods:

  • Retrospective review of clinical and ultrasonoscopy data from 183 pediatric patients (0-18 years) with intussusception.
  • Comparison of ultrasonographic features between SBI (123 cases) and ileocolic intussusception (60 cases).

Main Results:

  • Significant ultrasonographic differences (p<0.05) were observed in lesion diameter, fat core thickness, outer wall thickness, lymph nodes, and lesion length.
  • Normal ileocecal region and ascending colon location differed significantly between SBI and ileocolic intussusception groups.

Conclusions:

  • Ultrasonography is a practical and effective method for distinguishing SBI from ileocolic intussusception.
  • Combining lesion analysis with assessment of normal anatomical location aids accurate diagnosis and prevents misdiagnosis.
Abstract

Keywords:
Ileocecal regionIleocolic intussusceptionPediatricSmall-bowel intussusceptionUltrasonography

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