Recurrent intussusception. Analysis of a series treated with hydrostatic reduction

Area of Science:

• Radiology
• Gastroenterology
• Pediatric Surgery

Background:

• Intussusception is a common surgical emergency in infants.
• Recurrent intussusception requires careful diagnostic evaluation.
• Conventional radiography and barium enema are key imaging modalities.

Purpose of the Study:

• To compare imaging findings in recurrent intussusception versus uncomplicated cases.
• To identify imaging signs predictive of intussusception recurrence.

Main Methods:

• Retrospective comparison of 35 recurrent intussusception cases with 35 uncomplicated cases.
• Analysis of conventional radiography and barium enema findings.
• Correlation of imaging findings with clinical outcomes.

Main Results:

• Minor disparities observed between recurrent and uncomplicated intussusception imaging.
• Sparse intestinal gas on radiography may suggest intussusception.
• Complete bowel evacuation post-barium enema occurred in one-third of early relapses.
• One prior relapse significantly increases the risk of further recurrences.

Conclusions:

• Imaging findings alone show limited differences between recurrent and uncomplicated intussusception.
• Barium enema's complete evacuation is a potential indicator of early relapse.
• Patients with a history of intussusception relapse face a higher risk of future episodes.