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Chronic intussusception in childhood

H Schulman1, L Laufer, E Kurzbert

  • 1Department of Radiology, Soroka Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

European Radiology
|December 16, 1998
PubMed
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This report details a rare case of chronic intussusception diagnosed using advanced imaging like ultrasound and CT scans. Surgery confirmed the diagnosis, with no underlying cause found, leading to a successful recovery.

Area of Science:

  • Gastroenterology
  • Radiology
  • Surgical Case Reports

Background:

  • Chronic intussusception is a rare condition, often presenting with non-specific symptoms.
  • Accurate diagnosis is crucial for effective management and to prevent complications.

Observation:

  • A case of chronic intussusception is presented.
  • Radiological investigations, including ultrasound, CT, and barium enema, were utilized for diagnosis.
  • Ultrasound identified a solid mass, CT revealed the characteristic 'coiled spring' sign, and barium enema showed a 'crescent-shaped' defect.

Findings:

  • Imaging modalities successfully diagnosed chronic intussusception.
  • CT scan was particularly effective in demonstrating the classic 'coiled spring' appearance.
  • No precipitating organic lesion was identified during surgery.

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Implications:

  • This case highlights the importance of multi-modality imaging in diagnosing rare gastrointestinal conditions.
  • It underscores the effectiveness of radiological findings in guiding surgical intervention for intussusception.
  • The report contributes to the understanding of idiopathic chronic intussusception.