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Spontaneous reduction of intussusception: verification with US
L E Swischuk1, S D John, P N Swischuk
1Department of Radiology and Pediatrics, University of Texas Medical Branch, Galveston.
Radiology
|July 1, 1994
Summary
Spontaneous reduction of intussusception may be more common than previously believed. Ultrasound (US) imaging aided in documenting these cases, suggesting increased future documentation.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Imaging
Background:
- Intussusception is a common cause of intestinal obstruction in infants.
- Diagnosis typically involves imaging studies like ultrasound and enema.
Observation:
- Four infant cases (3-7 months) of intussusception were reviewed over 12 years.
- Initial ultrasound (US) diagnosed intussusception in all patients.
- Subsequent enema studies and repeat US failed to identify intussusception.
Findings:
- All four patients experienced rapid, spontaneous resolution of symptoms.
- Ultrasound proved valuable in documenting these instances of spontaneous reduction.
- Discrepancies between initial US diagnosis and subsequent imaging were noted.
Implications:
- Spontaneous reduction of intussusception may be underrecognized.
- US facilitates the documentation of spontaneously reduced intussusception.
- Increased recognition may alter clinical management and diagnostic approaches.