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Ileocolic intussusception in pediatric SARS-CoV-2 patients: experience at a tertiary pediatric center

Rida Salman1, Andrew C Sher1, Marla B K Sammer1

  • 1Edward B. Singleton Department of Radiology, Texas Children's Hospital, 6701 Fannin St., Suite 470, Houston, TX, 77030, USA.

Pediatric Surgery International
|January 9, 2022
PubMed

Insights

COVID-19 in children can cause intussusception, with nearly half of ultrasounds showing abnormalities. While some cases required surgery, other gastrointestinal issues were more common.

Area of Science:

  • Pediatric Gastroenterology
  • Infectious Diseases
  • Radiology

Background:

  • COVID-19 can present with gastrointestinal symptoms in children.
  • Intussusception is a known, though uncommon, manifestation.
  • Ultrasound findings in COVID-19 associated intussusception require further characterization.

Purpose of the Study:

  • To report the ultrasound findings in pediatric patients with COVID-19 and suspected intussusception.
  • To determine the prevalence of abnormalities on ultrasound in this cohort.

Main Methods:

  • Retrospective analysis of pediatric patients (<18 years) tested for COVID-19.
  • Inclusion criteria: ultrasound for suspected intussusception between April-December 2020.
  • Review of demographic, clinical, radiological, and surgical data.

Main Results:

  • Twenty-four COVID-19 positive patients identified (19 males, mean age 3 years).
  • Ultrasound abnormalities found in 46% (11/24) of patients.
  • Ileocolic intussusception occurred in 13% (3/24), with 100% failure of air enema reduction, necessitating surgery.

Conclusions:

  • Heightened awareness for intussusception in COVID-19 pediatric cases is warranted.
  • Ultrasound can identify intussusception, but other GI manifestations of COVID-19 are more frequent.
  • Failed air enema reduction may indicate delayed presentation.
Abstract

Keywords:
COVID-19ChildrenEnema reductionIntussusception

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