787 results match your criteria Imaging in Child Intussusception


Bean Syndrome in a Child Treated with Sirolimus: About a Case.

Case Rep Pediatr 2022 24;2022:8245139. Epub 2022 May 24.

Department of Pediatrics, Mohammed VI University Hospital, Oujda, Morocco.

Bean syndrome (BS) or blue rubber bleb nevus syndrome is a rare clinical entity characterized by venous malformations mainly in the skin and digestive tract, whose hemorrhagic complications can be life threatening. We report a case of Bean syndrome in a 3-year-old child of nonconsanguineous parents, in whom the diagnosis of miliary hemangiomatosis was initially made in view of a huge mass on the left thigh, taking the knee, and then the progressive appearance of a skin disorder with bluish swellings of variable sizes spread over the whole body. The patient was put on beta-blockers but without improvement. Read More

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Recurrent ileocolic intussusception with appendiceal lead point in a 2-year-old child: an etiology to be aware of on ultrasound.

Radiol Case Rep 2022 Jun 6;17(6):1951-1954. Epub 2022 Apr 6.

Department of Diagnostic Imaging, Brown University/Rhode Island Hospital, 593 Eddy Street, Providence, RI, 02903, USA.

Ileocolic intussusception is a differential consideration in young pediatric patients presenting with acute abdominal pain. Appendiceal intussusception is an uncommon variant of ileocolic intussusception where the appendix is contained within the intussusception, which can be challenging to diagnose preoperatively. In this case report, we present a 25-month-old female presenting with intermittent, diffuse abdominal pain. Read More

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Intussusception and COVID-19 in Infants: Evidence for an Etiopathologic Correlation.

Pediatrics 2022 06;149(6)

Department of Pediatric General Surgery, Regina Margherita Children's Hospital, Azienda Ospedaliero Universitaria Città della Salute e della Scienza, Turin, Italy.

Nonrespiratory conditions related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections have been largely described. Ileocolic intussusception has been reported in association with SARS-CoV-2 infection in 10 children, raising the possibility of an etiopathologic role for the virus, but none of these cases documented tissue pathology that would have supported SARS-CoV-2 intestinal inflammation. We report 2 cases of intussusception in patients with SARS-CoV-2 infection who were treated at different pediatric tertiary centers in Europe and provide evidence of the presence of the virus in mesenteric and intestinal tissues of the patients. Read More

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Delayed Repeat Contrast Enema for Treatment of Pediatric Intussusception.

J Surg Res 2022 07 5;275:109-114. Epub 2022 Mar 5.

Division of Pediatric Surgery, Oregon Health and Sciences University, Portland, Oregon; Division of Pediatric Surgery, Northwest Permanente, Portland, Oregon. Electronic address:

Introduction: Ileocolic intussusception is a common cause of pediatric bowel obstruction. Contrast enema is successful in treating the majority of patients, and if initially unsuccessful, approximately one-third may be reduced with repeat enemas. We sought to study protocol implementation for delayed repeat enema in pediatric patients not reduced completely by an initial contrast enema. Read More

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[Ileal Atresia Due to Intrauterine Intussusception].

Z Geburtshilfe Neonatol 2022 Jun 7;226(3):209-212. Epub 2022 Mar 7.

Klinik für Kinder und Jugendliche, Sozialstiftung Bamberg, Bamberg, Deutschland.

Intussusception commonly affects children in the first year of life but it may rarely also appear in utero. We report a newborn with delayed passing of meconium, repeated vomiting, and abdominal distension in the first week of life. After radiological diagnosis of a small bowel obstruction, the newborn underwent an exploratory laparotomy where an ileal atresia proximal to an intussusception was found. Read More

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Ultrasonographic diagnosis of ileo-ileal intussusception secondary to Vanek's tumor.

Eur Rev Med Pharmacol Sci 2022 Jan;26(2):350-353

Gastroenterology Unit, Department of Clinical Medicine and Surgery, University Federico II of Naples, Naples, Italy.

Intussusception is a common condition of bowel obstruction in pediatric patients. However, 5% of all cases occur in adults, mostly aged over fifty, with no difference based on sex, representing about 1% of all causes of bowel obstruction. Compared to pediatric population, it is triggered by a pathologic lead point in about 85% of cases, represented in 60% of cases by malignant and benign neoplasms. Read More

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January 2022

Ileocolic intussusception in pediatric SARS-CoV-2 patients: experience at a tertiary pediatric center.

Pediatr Surg Int 2022 Mar 8;38(3):437-443. Epub 2022 Jan 8.

Edward B. Singleton Department of Radiology, Texas Children's Hospital, 6701 Fannin St., Suite 470, Houston, TX, 77030, USA.

Purpose: COVID-19 disease can manifest with intussusception in pediatric patients, but prevalence of abnormalities on ultrasounds performed for intussusception is uncertain. We aim to report our experience in children with COVID-19 presenting with suspected intussusception imaged with ultrasound.

Methods: Children under 18 years who had an ultrasound for possible intussusception underwent retrospective analysis and were tested for COVID-19 between April 1 and December 14, 2020. Read More

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Factors Associated With Severe Gastrointestinal Diagnoses in Children With SARS-CoV-2 Infection or Multisystem Inflammatory Syndrome.

JAMA Netw Open 2021 12 1;4(12):e2139974. Epub 2021 Dec 1.

Ospedale Bambino Gesù IRCCS, Rome, Italy.

Importance: Severe gastrointestinal (GI) manifestations have been sporadically reported in children with COVID-19; however, their frequency and clinical outcome are unknown.

Objective: To describe the clinical, radiological, and histopathologic characteristics of children with COVID-19 presenting with severe GI manifestations to identify factors associated with a severe outcome.

Design, Setting, And Participants: A multicenter retrospective cohort study (February 25, 2020, to January 20, 2021) enrolled inpatient and outpatient children (aged <18 years) with acute SARS-CoV-2 infection, confirmed by positive real-time reverse-transcriptase-polymerase chain reaction on nasopharyngeal swab or fulfilling the US Centers for Disease Control and Prevention criteria for multisystem inflammatory syndrome in children (MIS-C). Read More

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December 2021

A Child's Acute Intestinal Intussusception and Literature Review.

Glob Pediatr Health 2021 24;8:2333794X211059110. Epub 2021 Nov 24.

Department of Radiology, Ibn Sina Paediatric Teaching Hospital,Mohammed V University, Rabat, Morocco.

Acute intestinal intussusception remains a surgical emergency in infants and young children aged 3 months to 3 years. It results from the incarceration of the upstream intestinal segment in the downstream segment. In the majority of cases it is idiopathic, but can be secondary to certain pathologies notably Meckel's diverticulum. Read More

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November 2021

The diagnosis and treatment of retrograde intussusception: a single-centre experience.

BMC Surg 2021 Nov 13;21(1):398. Epub 2021 Nov 13.

Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, 18 Daoshan Road, Gulou District, Fuzhou, 350001, Fujian, China.

Background/purpose: To investigate the clinical manifestations, treatments of retrograde intussusception and summarize the experience.

Methods: Children with retrograde intussusception treated in our hospital from January 2011 to January 2021 were retrospectively analysed. Demographics, clinical manifestations, preoperative colour Doppler ultrasound (CDU) findings, findings during surgery and follow-up results were collected. Read More

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November 2021

Early discharge after nonoperative management of intussusception is both safe and cost-effective.

J Pediatr Surg 2022 Jan 5;57(1):147-152. Epub 2021 Oct 5.

Center for Surgical Trials and Evidence-Based Practice (C-STEP), McGovern Medical School, University of Texas Health Science Center, 6431 Fannin Street, MSB 5.256, Houston, TX 77030, United States; Department of Pediatric Surgery, McGovern Medical School, University of Texas Health Science Center, 6431 Fannin Street, MSB 5.246, Houston, TX 77030, United States; Children's Memorial Hermann Hospital, 6411 Fannin Street, Houston, TX 77030, United States. Electronic address:

Background/purpose: We implemented a quality improvement (QI) initiative to safely reduce post-reduction monitoring for pediatric patients with ileocolic intussusception. We hypothesized that there would be decreased length of stay (LOS) and hospital costs, with no change in intussusception recurrence rates.

Methods: A retrospective cohort study was conducted of pediatric ileocolic intussusception patients who underwent successful enema reduction at a tertiary-care pediatric hospital from January 2015 through June 2020. Read More

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January 2022

Omphalomesenteric Duct Anomalies in Children: A Multimodality Overview.

Radiographics 2021 Nov-Dec;41(7):2090-2110

From the Departments of Diagnostic Imaging (E.J.I.C., M.N.I., E.L., C.C., P.S., I.B.M.d.l.T.) and Pathology (M.S.), Hospital Sant Joan de Déu, Av Sant Joan de Déu 2, 08950 Esplugues de Llobregat (Barcelona), Spain; and Departments of Medical Imaging, University of Toronto, and Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada (O.M.N.).

The omphalomesenteric duct is an embryologic structure that connects the yolk sac with the primitive midgut of the developing fetus. Omphalomesenteric duct anomalies include a group of entities that result from failed resorption of the omphalomesenteric duct. These anomalies include Meckel diverticulum, omphalomesenteric fistula, fibrous bands, cysts, and umbilical polyps. Read More

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November 2021

The impact of social distancing during the COVID-19 pandemic on rates of pediatric idiopathic intussusception.

Pediatr Radiol 2022 03 9;52(3):453-459. Epub 2021 Oct 9.

Department of Radiology, Boston Children's Hospital, 300 Longwood Ave., Boston, MA, 02115, USA.

Background: The causes of idiopathic ileocolic intussusception are unknown, with infection as the most likely culprit. Recently, social distancing measures were implemented during the coronavirus disease 2019 (COVID-19) pandemic to decrease transmissible infectious diseases, creating an opportune setting to study the role of infection on the pathogenesis of intussusception on a population level.

Objective: To investigate the impact of social distancing on intussusception. Read More

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Ileocolic intussusception: Ultrasound-guided hydrostatic reduction with sedation and analgesia.

Radiologia (Engl Ed) 2021 Sep-Oct;63(5):406-414

Departamento de Cirugía Pediátrica, Hospital Universitario Virgen del Rocío, Sevilla, Spain.

Introduction: The first-choice treatment for ileocolic intussusception is imaging-guided reduction with water, air, or barium. The objectives of the current study were to evaluate the efficacy and safety of ultrasound-guided reduction of intussusception using water in patients under sedation and analgesia. We compare this approach with our previous experience in reduction using barium under fluoroscopic guidance without sedation and analgesia and investigate what factors predispose to surgical correction. Read More

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December 2021

Current Applications of Pediatric Abdominal Point-of-Care Ultrasound.

Pediatr Ann 2021 Oct 1;50(10):e419-e423. Epub 2021 Oct 1.

Point-of-care ultrasound (POCUS) for pediatric abdominal symptoms has expanded in both the inpatient and outpatient settings. POCUS may be used to aid in the diagnosis of appendicitis, hypertrophic pyloric stenosis, and intussusception in the pediatric population. This article reviews the benefits of POCUS for the diagnosis of these pediatric pathologies. Read More

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October 2021

Appendiceal carcinoid in a pediatric patient with Peutz-Jeghers syndrome: A case report and comprehensive literature review.

Medicine (Baltimore) 2021 Oct;100(39):e27389

College of Medicine, QU Health, Qatar University, Doha, Qatar.

Rationale: Peutz-Jeghers syndrome (PJS), a rare autosomal dominant disorder, is characterized by mucocutaneous pigmentations, hamartomatous polyps in the gastrointestinal tract, and a high risk of developing various malignancies. To the best of our knowledge, only 1 case of appendiceal carcinoid associated with PJS has been previously reported in the pediatric population.

Patient Concerns: We report a 7-year-old girl who was admitted for severe, intermittent abdominal pain and cramps, nausea, and vomiting. Read More

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October 2021

Child With Vomiting.

Ann Emerg Med 2021 10;78(4):e65-e66

Department of Emergency Medicine, Staten Island University Hospital, Staten Island, NY.

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October 2021

Point-of-Care Ultrasound For Differentiating Ileocolic From Small Bowel-Small Bowel Intussusception.

J Emerg Med 2022 01 11;62(1):72-82. Epub 2021 Sep 11.

Emergency Department, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Background: Intussusception is a common pediatric emergency. The two types of intussusception are ileocolic intussusception (ICI) and small bowel-small bowel intussusception (SB-SBI), and neither are easily distinguished clinically. ICI requires radiology personnel and potentially surgical assistance for its reduction. Read More

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January 2022

Incidental Ultrasound Diagnosis of Neonatal Intussusception Secondary to Meckel's Diverticulum in a Neurologically Impaired Child.

Am J Case Rep 2021 Sep 5;22:e932280. Epub 2021 Sep 5.

Department of Pediatric Surgery, Regina Margherita Children's Hospital, Turin, Italy.

BACKGROUND Intussusception is the most common cause of intestinal obstruction in children, with a peak incidence usually before the second year of age, while in neonates it is a rare entity. We describe a delayed and incidental diagnosis of neonatal intussusception secondary to Meckel's diverticulum in a neonate with shaken baby syndrome (SBS). This is, to the best of our knowledge, the first reported case of a neonatal intussusception with a Meckel's diverticulum as a lead point in a neurologically impaired child. Read More

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September 2021

Double intussusception in a teenage child with Peutz-Jeghers syndrome: A case report.

World J Clin Cases 2021 Aug;9(23):6804-6809

Department of Surgery, Hospital Sultanah Aminah, Johor Bahru 80100, Malaysia.

Background: Peutz-Jeghers syndrome (PJS) is a genetic disorder characterized by the development of gastrointestinal hamartomatous polyps and mucocutaneous melanin pigmentation. Patients with PJS are at risk of complications such as intussusception. Intussusception is a condition where one segment of the intestine invaginates into another, causing intestinal obstruction. Read More

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Ultrasound Findings to Predict Risk of Recurrence in Pediatric Intussusception After Air Enema Reduction.

J Ultrasound Med 2022 May 21;41(5):1227-1235. Epub 2021 Aug 21.

Department of Ultrasound, the Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.

Objectives: Intussusception is one of the most common abdominal emergencies in early children. Intussusception recurs in 8-20% of children after successful nonoperative reduction. The aim of this study was to explore the ultrasound findings to predict risk of recurrence in pediatric intussusception after air enema reduction. Read More

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Transient Ileo-Ileal Intussusception as a Manifestation of Multisystem Inflammatory Syndrome in Children.

J Paediatr Child Health 2021 Sep 4;57(9):1546-1548. Epub 2021 Aug 4.

Department of Pediatric Infectious Diseases, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.

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September 2021

Diagnostic Accuracy of Point-of-Care Ultrasound for Intussusception: A Multicenter, Noninferiority Study of Paired Diagnostic Tests.

Ann Emerg Med 2021 11 3;78(5):606-615. Epub 2021 Jul 3.

Department of Emergency Medicine, Newark Beth Israel Medical Center, Newark, NJ.

Study Objective: To determine the diagnostic accuracy of point-of-care ultrasound (POCUS) performed by experienced clinician sonologists compared to radiology-performed ultrasound (RADUS) for detection of clinically important intussusception, defined as intussusception requiring radiographic or surgical reduction.

Methods: We conducted a multicenter, noninferiority, observational study among a convenience sample of children aged 3 months to 6 years treated in tertiary care emergency departments across North and Central America, Europe, and Australia. The primary outcome was diagnostic accuracy of POCUS and RADUS with respect to clinically important intussusception. Read More

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November 2021

Multifocal precursor B-cell lymphoblastic lymphoma in an infant with cardiac involvement: A case report.

Radiol Case Rep 2021 Aug 8;16(8):2054. Epub 2021 Jun 8.

Department of Radiology, Ha Noi Medical University, Ha Noi, Vietnam.

Lymphoma with cardiac involvement is a high-risk lesion, especially in children. We report a rare clinical case of multifocal precursor B-cell lymphoblastic lymphoma in a child with cardiac involvement. A 4-year-old boy presented to the Vietnam National Children's Hospital with a vague headache, but magnetic resonance imaging of the head was normal. Read More

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A Retrospective Cohort Study of Optimal Contrast for Successful Intussusception Reduction: Institutional Practices Matter.

J Surg Res 2021 11 17;267:159-166. Epub 2021 Jun 17.

Division of Pediatric Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois. Electronic address:

Background: The first-line treatment for intussusception is radiologic reduction with either air-contrast enema (AE) or liquid-contrast enema (LE). The purpose of this study was to explore relationships between self-reported institutional AE or LE intussusception reduction preferences and rates of operative intervention and bowel resection.

Methods: Pediatric Health Information System (PHIS) hospitals were contacted to assess institutional enema practices for intussusception. Read More

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November 2021

Comparison between children and adults intussusception. Description of two cases and review of literature.

Ann Ital Chir 2021 ;92:268-276

Introduction: Intussusception is a common condition in children, it is rare in adults. Adult intussusception differs from pediatric intussusception in various respects, including etiology clinical characteristics and therapy.

Methods: We present and discuss a new case of intussusception in children and adults. Read More

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Shear wave elastography evaluation in predicting the success of ultrasound-guided saline enema hydrostatic reduction technique in ileocolic intussusception.

Acta Radiol 2022 Jul 21;63(7):862-866. Epub 2021 May 21.

Department of Pediatric Radiology, Gazi University, Ankara, Turkey.

Background: Intussusception is the invagination of the proximal intestinal segment into the distal portion. Reduction procedures with fluid or air have been used as the primary treatment of choice in clinically stable children.

Purpose: To evaluate the role of intestinal wall elasticity measurements by shear wave elastography (SWE) to predict the success of ultrasound-guided saline enema (USGSE) reduction. Read More

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Contrast-enhanced ultrasound of the pediatric bowel.

Pediatr Radiol 2021 Nov 12;51(12):2214-2228. Epub 2021 May 12.

Department of Radiology, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA.

Contrast-enhanced ultrasound (CEUS) has emerged as a valuable modality for bowel imaging in adults and children. CEUS enables visualization of the perfusion of the bowel wall and of the associated mesentery in healthy and disease states. In addition, CEUS images can be used to make quantitative measurements of contrast kinetics, allowing for objective assessment of bowel wall enhancement. Read More

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November 2021

Predictors of failed enema reduction in children with intussusception: a systematic review and meta-analysis.

Eur Radiol 2021 Nov 11;31(11):8081-8097. Epub 2021 May 11.

Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea.

Objective: To identify predictors of failed enema reduction in children with intussusception.

Methods: PubMed and EMBASE were searched for all studies published over a 20-year time frame, prior to March 25, 2020. Original articles that reported predictors of failed enema reduction were included. Read More

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November 2021

Evaluation of spontaneous reduction among the invagination cases admitted to the paediatric emergency department; retrospective study.

Int J Clin Pract 2021 Aug 24;75(8):e14322. Epub 2021 May 24.

Department of Pediatrics, Faculty of Medicine, Gazi University, Ankara, Turkey.

Aims: We aimed to determine the factors that determine the conditions in cases of invagination with spontaneous reduction.

Methods: Study was conducted retrospectively in the Paediatric Emergency Department (PED) of the tertiary University Hospital in Ankara, Turkey. Invagination cases admitted between January 1, 2019 and December 31, 2019 were included in the study. Read More

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