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Ileo-ileal intussusception in the newborn. Report of a radiologically diagnosed case
Pediatric Radiology
|July 25, 1977
Insights
Gastrografin enema accurately diagnosed ileo-ileal intussusception in a newborn. This contrast enema technique visualized intraluminal defects and mucosal changes, aiding surgical planning.
Area of Science:
- Pediatric Radiology
- Gastrointestinal Imaging
- Surgical Diagnostics
Background:
- Intussusception is a common cause of bowel obstruction in infants.
- Accurate preoperative diagnosis is crucial for optimal surgical outcomes.
- Contrast enemas are a valuable tool in pediatric gastrointestinal diagnostics.
Observation:
- A newborn infant with suspected ileo-ileal intussusception underwent a gastrografin enema.
- Deliberate reflux of contrast material into the small bowel was performed.
- Radiographic findings included an intraluminal filling defect and stretched mucosal folds.
Findings:
- The gastrografin enema successfully demonstrated ileo-ileal intussusception.
- The contrast study provided clear visualization of the intussusception's characteristics.
- The technique highlighted intraluminal abnormalities and mucosal fold alterations.
Implications:
- Contrast enemas, particularly with reflux, are effective for diagnosing neonatal intussusception.
- This imaging modality aids in differentiating intussusception from other causes of bowel obstruction.
- Understanding the indications and proper use of contrast enemas improves diagnostic accuracy in pediatric surgical emergencies.
Abstract:
Ileo-Ileal intussusception was demonstrated preoperatively in a newborn infant by gastrografin enema with deliberate reflux of the contrast material into the small bowel. An intraluminal filling defect and stretching of the mucosal folds were demonstrated. The indications and proper use of contrast enemas are discussed.