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Peritoneal fluid in children with intussusception: its sonographic detection and relationship to successful reduction
K A Feinstein1, M Myers, S K Fernbach
1Department of Radiology, Children's Memorial Hospital, Chicago, IL 60614.
Insights
Ultrasound (US) detected free peritoneal fluid in children with intussusception did not affect reduction rates. This finding aids in understanding imaging markers for pediatric intussusception management.
Area of Science:
- Pediatric Radiology
- Gastroenterology
- Abdominal Imaging
Background:
- Intussusception is a common surgical emergency in children.
- Abdominal ultrasound (US) is a primary diagnostic tool.
- The presence of peritoneal fluid in intussusception is a debated finding.
Purpose of the Study:
- To determine the incidence of US-detected peritoneal fluid in pediatric intussusception.
- To assess if peritoneal fluid impacts the success rate of reduction.
Main Methods:
- Retrospective review of 21 pediatric intussusception cases.
- Analysis of abdominal/pelvic ultrasound (US) examinations.
- Correlation of US findings with barium enema results and reduction success.
Main Results:
- Free peritoneal fluid was detected in 12 of 21 children (57%).
- Successful reduction rates were similar in children with (67%) and without (67%) free fluid.
- Ultrasound (US) is valuable for diagnosing intussusception and assessing associated findings.
Conclusions:
- Peritoneal fluid in pediatric intussusception, as detected by ultrasound, does not appear to influence reduction success.
- US findings should be interpreted within the clinical context of intussusception management.
- Further research may explore other US markers predictive of reduction outcomes.
Abstract:
A retrospective review of the abdominal/pelvic ultrasound (US) examinations in 21 consecutive children with intussusception proven on barium enema was performed to determine what is the incidence of US detected peritoneal fluid in this population and to see if the rate of reduction was different in this subset. Twelve of the 21 children (57%) had free fluid demonstrated with US. Eight of these 12 (67%) had successful reduction. Six of the nine children (67%) without free fluid were also successfully reduced.