703 results match your criteria Imaging in Child Intussusception


Point-of-care ultrasound could be an effective alternative to radiology-performed imaging in the diagnosis of intussusception and pneumonia in children.

Arch Dis Child Educ Pract Ed 2020 May 15. Epub 2020 May 15.

Emergency Medicine, Royal Hospital for Children Glasgow, Glasgow, Glasgow, UK.

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http://dx.doi.org/10.1136/archdischild-2020-318868DOI Listing

Jejuno-jejunal intussusception caused by a percutaneous endoscopic gastrojejunostomy tube in a pediatric patient: A case report.

Medicine (Baltimore) 2020 Apr;99(16):e19888

Department of Pediatrics.

Rationale: Although percutaneous endoscopic gastrojejunostomy (PEG-J) tubes are believed to reduce the side effect of aspiration, cautious catheter management is required. Intussusception is a serious complication of these tubes.

Patient Concerns: A 7-year-old boy bedridden with hypoxic encephalopathy owing to drowning at the age of 1 year was admitted our hospital with urinary retention for 1 month. Read More

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http://dx.doi.org/10.1097/MD.0000000000019888DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220696PMC

Imaging Acute Non-Traumatic Abdominal Pathologies in Pediatric Patients: A Pictorial Review.

J Radiol Case Rep 2019 Jul 31;13(7):29-43. Epub 2019 Jul 31.

Department of Radiology, American University of Beirut Medical Center, Beirut, Lebanon.

The dilemma of acute non-traumatic abdominal pathologies in the pediatric population depends on the age of the patients and symptoms. Surgical etiologies in patients younger than 2 years of age include intussusception, pyloric stenosis, malrotation and midgut volvulus. In older patients, considerations become closer to differential etiologies in adults including acute appendicitis. Read More

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http://dx.doi.org/10.3941/jrcr.v13i7.3443DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738493PMC
July 2019
4 Reads

Paediatric Postoperative Intussusception.

J Nepal Health Res Counc 2019 Aug 4;17(2):258-260. Epub 2019 Aug 4.

Department of Pediatric Surgery, Kanti Children's Hospital, Maharajgunj, Kathmandu, Nepal.

Intussusception is one of the common causes of acute abdomen in early childhood, particularly in children younger than two years of age. The majority of cases in children are idiopathic. Pathologic lead points can be identified in only 25 percent of cases. Read More

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http://dx.doi.org/10.33314/jnhrc.v0i0.1793DOI Listing

Can intussusceptions of small bowel and colon be transient? A prospective study.

Eur J Pediatr 2019 Oct 24;178(10):1537-1544. Epub 2019 Aug 24.

Department of Pediatric Surgery, West China Hospital of Sichuan University, Chengdu, China.

We performed a prospective study to explore a diagnosis and treatment protocol of transient intussusception in children (TIC). Totally, 143 children with intussusception who met the inclusion criteria were firstly divided into intussusception involving only the small bowel and intussusception involving the colon group. And in each group, they were further divided into short-segment (≤ 3. Read More

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http://dx.doi.org/10.1007/s00431-019-03455-zDOI Listing
October 2019
3 Reads

Terminal Ileitis Presenting With a Spontaneously Reduced Ileocolic Intussusception Diagnosed by Point-of-Care Ultrasonography.

Pediatr Emerg Care 2020 Jan;36(1):e30-e32

Section of Pediatric Radiology, Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut.

Point-of-care ultrasound can be used in the initial workup of ileocolic (IC) intussusception. In general, these lesions require immediate attention and reduction to prevent ischemic bowel injury. We discuss the case of a 27-month-old boy whose IC intussusception was found to spontaneously reduce before a radiology performed ultrasound and the planned air enema reduction procedure. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001879DOI Listing
January 2020

Pediatric Emergency Medicine Point-of-Care Ultrasound for the Diagnosis of Intussusception.

J Emerg Med 2019 Sep 9;57(3):367-374. Epub 2019 Aug 9.

Department of Pediatrics, University of Missouri-Kansas City School of Medicine and Division of Emergency Medicine, Children's Mercy Hospital, Kansas City, Missouri.

Background: Delayed diagnosis of intussusception can lead to air enema failure and increased morbidity. There are limited studies reporting the accuracy of pediatric emergency medicine (PEM) physician point-of-care ultrasound (POCUS) in diagnosing intussusception.

Objectives: The primary objective was to evaluate the accuracy of PEM POCUS in identifying ileocolic intussusception. Read More

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http://dx.doi.org/10.1016/j.jemermed.2019.06.007DOI Listing
September 2019
1 Read

Intussusception: It's Not Always Ileo-Colic.

Ann Acad Med Singapore 2019 Jun;48(6):195-198

Department of Diagnostic and Interventional Imaging, KK Women's and Children's Hospital, Singapore.

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Point-of-care ultrasound diagnosis of small bowel-small bowel vs ileocolic intussusception.

Am J Emerg Med 2019 09 18;37(9):1746-1750. Epub 2019 Jun 18.

Department of Pediatrics, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, United States of America; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, United States of America.

Background: Identification of intussusception is feasible with emergency department (ED) point-of-care ultrasound (PoCUS) due to its ease-of-use and high accuracy. Little is known about the clinical characteristics and outcomes of small bowel-small bowel intussusception (SB-SBI) relative to ileocolic intussusception (ICI) identified by PoCUS.

Methods: We conducted a retrospective cohort study at a single, tertiary care, urban pediatric ED of intussusception identified by PoCUS. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.06.024DOI Listing
September 2019
10 Reads

Accuracy of point-of-care ultrasound and radiology-performed ultrasound for intussusception: A systematic review and meta-analysis.

Am J Emerg Med 2019 09 4;37(9):1760-1769. Epub 2019 Jun 4.

Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan. Electronic address:

Objective: It is unclear whether point-of-care ultrasound (POCUS) by emergency medicine physicians is as accurate as radiology-performed ultrasound (RADUS). We aim to summarize the diagnostic accuracy of ultrasonography for intussusception and to compare the performance between POCUS and RADUS.

Methods: Databases were searched from inception through February 2018 using pre-defined index terms. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.06.006DOI Listing
September 2019
6 Reads

The length of the intussusception increases with distal propagation of the ileocolic intussusception.

Pediatr Radiol 2019 06 1;49(7):976-977. Epub 2019 Jun 1.

Department of Pediatric Surgery, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.

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http://dx.doi.org/10.1007/s00247-019-04390-9DOI Listing
June 2019
1 Read

Rapidly Progressive Small Bowel Necrosis in a Previously Healthy Child without Proven Mechanical Obstruction.

Pediatr Gastroenterol Hepatol Nutr 2019 May 23;22(3):291-297. Epub 2019 Apr 23.

Department of Pediatrics, Seoul Medical Center, Seoul, Korea.

Bowel ischemia is a life-threatening surgical emergency. We report a case of rapidly progressive bowel necrosis in a previously healthy child without proven mechanical small bowel obstruction. The definite diagnosis was established at the time of an exploratory operation. Read More

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http://dx.doi.org/10.5223/pghn.2019.22.3.291DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6506427PMC
May 2019
12 Reads

Early screening the small bowel is key to protect Peutz-Jeghers syndrome patients from surgery: a novel mutation c.243delG in STK11 gene.

BMC Gastroenterol 2019 May 9;19(1):70. Epub 2019 May 9.

Department of Gastroenterology, Airforce Medical Center of PLA, 30 Fucheng Rd., Beijing, 100142, China.

Background: Peutz-Jeghers syndrome (PJS) is a Mendelian disease, whose causative gene is STK11, mainly characterized by gastrointestinal polyposis and increased cancer risk. Clinical observation reveals intussusception in childhood are more frequent and severe than in adults, and it is difficult to prevent this knotty complication.

Case Presentation: A boy without a positive family history grew oral MP after birth and developed abdominal pain and bloody stood at 7 years old. Read More

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http://dx.doi.org/10.1186/s12876-019-0987-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6507206PMC
May 2019
10 Reads

Definitive Diagnosis before Leaving the Room: POCUS for Pediatric Intussusception.

J Emerg Med 2019 Aug 3;57(2):247-248. Epub 2019 May 3.

Department of Emergency Medicine, West Virginia University School of Medicine, Morgantown, West Virginia.

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http://dx.doi.org/10.1016/j.jemermed.2019.03.040DOI Listing

Extremely young case of small bowel intussusception due to Peutz-Jeghers syndrome with nonsense mutation of STK11.

Clin J Gastroenterol 2019 Oct 19;12(5):429-433. Epub 2019 Mar 19.

Oncogene Research Unit/Cancer Prevention Unit, Tochigi Cancer Center Research Institute, Utsunomiya, Tochigi, Japan.

Intussusception is a frequent and severe complication of Peutz-Jeghers syndrome (PJS). We herein present the case of a 3-year-old girl who experienced jejuno-jejunal intussusception due to PJS polyps. Despite no apparent family history of PJS, she had exhibited mucocutaneous pigmentation since infancy and recurrent abdominal pain and vomiting from 2 years of age. Read More

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http://dx.doi.org/10.1007/s12328-019-00964-0DOI Listing
October 2019
7 Reads

Paediatric burkitt lymphoma presenting as a mandible swelling and intussusception.

Med J Malaysia 2019 02;74(1):90-91

Universiti Sains Malaysia, School of Medical Sciences, Department of Otorhinolaryngology - Head & Neck Surgery, Health Campus, Kota Bharu, Kelantan, Malaysia.

Burkitt lymphoma is a rare entity especially in this part of the world. We had an 11-year-old patient presented with swelling of the mandible for a short one-month duration. He was planned for excision biopsy. Read More

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February 2019
8 Reads

Bowel Imaging in Children: Part 2.

Indian J Pediatr 2019 09 21;86(9):817-829. Epub 2019 Feb 21.

Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, 110029, India.

The bowel is a challenging abdominal organ to image. A variety of bowel disorders such as congenital, developmental, inflammatory, infectious and neoplastic lesions can affect children and most of them are either unique to this age group or have a distinct clinico-radiological appearance compared to adults. Imaging forms an integral part of management of these disorders. Read More

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http://dx.doi.org/10.1007/s12098-019-02878-8DOI Listing
September 2019
16 Reads

Vomiting and Dehydration in a 2-Year-Old.

Pediatrics 2019 03 12;143(3). Epub 2019 Feb 12.

Divisions of Emergency Medicine and.

A 2-year-old girl with a past medical history of cutaneous mastocytosis and eczema presented with 1 day of yellow-green, nonbloody vomiting, bradycardia, and listlessness. She was evaluated by her pediatrician and sent to the emergency department because of concern for dehydration. In the emergency department, she improved with fluid rehydration but still had decreased energy and bradycardia. Read More

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http://dx.doi.org/10.1542/peds.2018-0504DOI Listing
March 2019
46 Reads

Pediatric oncologic emergencies: Clinical and imaging review for pediatricians.

Pediatr Int 2019 Feb 7;61(2):122-139. Epub 2019 Feb 7.

Department of Pediatrics, St Luke's International Hospital, Tokyo, Japan.

Children with cancer are at increased risk of life-threatening emergencies, either from the cancer itself or related to the cancer treatment. These conditions need to be assessed and treated as early as possible to minimize morbidity and mortality. Cardiothoracic emergencies encompass a variety of pathologies, including pericardial effusion and cardiac tamponade, massive hemoptysis, superior vena cava syndrome, pulmonary embolism, and pneumonia. Read More

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http://dx.doi.org/10.1111/ped.13755DOI Listing
February 2019
39 Reads

Radiographic and Clinical Factors in Pediatric Patients With Surgical Small-bowel Intussusception.

J Surg Res 2019 01 27;233:167-172. Epub 2018 Aug 27.

Division of Pediatric Surgery, Department of General Surgery, Indiana University School of Medicine, Indianapolis, Indiana. Electronic address:

Background: When evaluating a pediatric patient with abdominal pain, identification of a small bowel-to-small bowel intussusception (SBI) on radiologic imaging can create a diagnostic dilemma. The clinical significance and need for surgical exploration of SBI is highly variable, as most of them are considered clinically insignificant. We hypothesize that combination of clinical and radiologic factors in an exclusively SBI population will yield factors that guide the clinician in making operative decisions. Read More

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http://dx.doi.org/10.1016/j.jss.2018.08.002DOI Listing
January 2019
3 Reads

Emergency department discharge following successful radiologic reduction of ileocolic intussusception in children: A protocol based prospective observational study.

J Pediatr Surg 2019 Aug 25;54(8):1609-1612. Epub 2018 Sep 25.

Department of Surgery, Children's Mercy Hospital, Kansas City, MO 64108. Electronic address:

Purpose: Pediatric intussusception's first line treatment consists of fluoroscopic guided air enema reduction. Postprocedure, these patients are usually admitted overnight for observation. The purpose of our study was to document the results of emergency department (ED) observation and discharge protocol after successful reduction of ileocolic intussusception. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183054
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http://dx.doi.org/10.1016/j.jpedsurg.2018.08.042DOI Listing
August 2019
35 Reads
1.311 Impact Factor

Concurrent Campylobacter jejuni bacteremia and intussusception in an immunocompetent five-year-old child.

J Microbiol Immunol Infect 2019 Apr 24;52(2):367-369. Epub 2018 Sep 24.

Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung road, Neihu, Taipei, Taiwan. Electronic address:

Bacterial enteritis has been reported to be a risk factor for childhood intussusception. However, no case report concerning children with concurrent Campylobactor bacteremia and intussusception were found in the literature. Herein, we report a 5-year-old male preschool child who presented symptoms of infectious diarrhea, and ileocecal type intussuscepton and Campylobactor jejuni bacteremia were found after a series of investigations. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S16841182183034
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http://dx.doi.org/10.1016/j.jmii.2018.09.004DOI Listing
April 2019
8 Reads

Early recurrence of ileocolic intussusception after successful air enema reduction: incidence and predisposing factors.

Emerg Radiol 2019 Feb 24;26(1):1-4. Epub 2018 Aug 24.

Department of Medical Imaging, Hadassah Medical Center, Hadassah Hebrew University, PO Box 24035, Mount Scopus, 91240, Jerusalem, Israel.

Purposes: Early recurrent ileocolic intussusception (RICI) is a rare event. We aimed to estimate the rate of RICI and identify predisposing factors for early recurrence for children treated in a tertiary-care academic medical center.

Methods: Consecutive children who were diagnosed with ileocolic intussusception (ICI) during the years 2005-2015 and had successful enema reduction were included. Read More

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http://dx.doi.org/10.1007/s10140-018-1635-6DOI Listing
February 2019
2 Reads

Novel Uses of Point-of-Care Ultrasound for Pediatric Foreign Bodies: An Emergency Department Case Series.

J Emerg Med 2018 10 6;55(4):530-533. Epub 2018 Aug 6.

Department of Emergency Medicine, SickKids Hospital, Toronto, Ontario, Canada.

Background: Foreign bodies (FBs) are a diagnostic challenge to pediatric emergency providers. Point-of-care ultrasound (POCUS) is an important adjunct to the diagnostic pathway of children with suspected FBs.

Case Report: This case series describes three examples of novel extended ultrasonography uses in the pediatric emergency department for the detection of FBs involving different organ systems (i. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.06.011DOI Listing
October 2018
19 Reads

Sporadic Burkitt's lymphoma masquerading as an intussuscepted Meckel's diverticulum in a 9-year-old child.

BMJ Case Rep 2018 Jul 24;2018. Epub 2018 Jul 24.

Pathology, Gold Coast University Hospital, Southport, Queensland, Australia.

We report the case of a 9-year-old boy who presented with abdominal pain and was found to have an intussusception with a sporadic Burkitt's lymphoma (BL) lead point. Our case was unusual in that the patient did not present with the typical clinical features of BL, nor was he in a high-risk demographic for this uncommon disease. Read More

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http://dx.doi.org/10.1136/bcr-2018-224333DOI Listing
July 2018
29 Reads

Double simultaneous intussusception caused by Meckel's diverticulum and intestinal duplication in a child.

J Int Med Res 2018 Aug 3;46(8):3427-3434. Epub 2018 Jul 3.

Department of Pediatric Surgery, Wuxi Children's Hospital, Wuxi, Jiangsu, China.

Intussusception is common in children. Double simultaneous intussusception is a peculiar variety of intussusception with only 14 previously reported cases. We report a unique case of a child who suffered from double simultaneous intussusception with two lead points (Meckel's diverticulum and intestinal duplication). Read More

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http://dx.doi.org/10.1177/0300060518777337DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134666PMC
August 2018
14 Reads

Gastrointestinal involvement in Kawasaki disease: a case report.

Cardiol Young 2018 Aug 2;28(8):1070-1073. Epub 2018 Jul 2.

3Department of Pediatric Cardiology,Ankara Yuksek İhtisas Education and Research Hospital,Ankara,Turkey.

Kawasaki disease is an acute febrile multisystem vasculitis. The term Incomplete Kawasaki disease is used in the presence of a minimum of two diagnostic criteria of clinical Kawasaki syndrome accompanied by at least 5 days of fever, the absence of any other reasons characterising the disease, and the presence of severe systemic inflammation findings. Gastrointestinal symptoms, notably diarrhoea, abdominal pain, and vomiting, frequently occur, and elevated serum aminotransferases, gallbladder hydrops, and rarely other forms of gastrointestinal involvement such as ischaemic colitis, intussusception, hepatic necrosis, splenic infarct, intestinal pseudo-obstruction, colitis, and colon oedema are also reported. Read More

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http://dx.doi.org/10.1017/S1047951118000847DOI Listing
August 2018
15 Reads

Primary jejunal Burkitt lymphoma in a child: ultrasonic detection.

J Surg Case Rep 2018 May 14;2018(5):rjy090. Epub 2018 May 14.

Department of Radiology, Otsu Red Cross Hospital, Otsu, Japan.

Gastrointestinal Burkitt lymphoma (BL) is a highly aggressive malignancy in childhood, and early treatment is critical for its favorable prognosis. Ultrasonography is a widely accepted initial imaging workup; therefore, recognition of the sonographic features of BL should contribute to its early diagnosis and initiation of treatment. We present a 4-year-old boy with primary jejunal BL with intussusception mimicking presentation, in which initial abdominal US allowed sustainable detection and characterization of the intestinal lesion. Read More

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http://dx.doi.org/10.1093/jscr/rjy090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5951082PMC
May 2018
10 Reads

Risk factors for recurrence of intussusception in pediatric patients: A retrospective study.

J Pediatr Surg 2018 Nov 28;53(11):2307-2311. Epub 2018 Mar 28.

Department of pediatric surgery, West China hospital, Sichuan University, China. Electronic address:

Objectives: The aim of this study was to explore the risk factors associated with recurrence of intussusception after operative or nonoperative reduction in children.

Methods: Between January 2004 and December 2012, patients with intussusception treated with nonoperative and operative reduction were retrospectively analyzed. We included the patients who were diagnosed with intussusception from the age of 0 year to 18 years who received nonoperative and operative reduction as an initial treatment. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.03.023DOI Listing
November 2018
4 Reads

Are we doing better? Barium enema reduction of intussusception.

Ann R Coll Surg Engl 2018 May 15;100(5):388-391. Epub 2018 Mar 15.

Department of Clinical Surgical Sciences, University of the West Indies, Eric Williams Medical Sciences Complex , Champs Fleurs , Trinidad and Tobago.

Introduction Intussuception remains one of the most common surgical abdominal emergencies in the paediatric population. The aim of this study was first to re-evaluate our non-operative reduction rate of intussusception using multiple interval barium enemas and second to investigate or discuss an audit cycle, providing evidence and validating the modification of clinical practice. Materials and methods This five-year retrospective study performed at one of two institutions at which a paediatric surgical service is offered. Read More

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http://dx.doi.org/10.1308/rcsann.2018.0023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956594PMC
May 2018
6 Reads

[Inflammatory gastrointestinal diseases in children : Radiological diagnosis].

Radiologe 2018 Apr;58(4):326-333

Institut für Diagnostische und Interventionelle Radiologie, Klinikum Klagenfurt, Feschnigstraße 11, 9020, Klagenfurt, Österreich.

Background/clinical Issue: Inflammatory bowel diseases are frequently seen in the clinical routine of a pediatric radiologist. The timely diagnosis of inflammatory bowel diseases in children is particularly important in acute cases.

Standard Radiological Methods/methodological Innovations: This nonsystematic article intends to give an overview of the radiologic imaging methods for the diagnosis and work-up of pediatric patients with inflammatory bowel diseases. Read More

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http://dx.doi.org/10.1007/s00117-018-0370-zDOI Listing
April 2018
5 Reads

A Rare Cause of Chronic Anemia and Recurrent Bowel Obstruction.

Gastroenterology 2018 Feb 18;154(3):e4-e7. Epub 2018 Jan 18.

Department of Surgery, Chung Shan Medical University Hospital, Taichung, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.

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http://dx.doi.org/10.1053/j.gastro.2017.05.025DOI Listing
February 2018
20 Reads

Meckel's Diverticulitis Masquerading as Acute Pancreatitis: A Diagnostic Dilemma.

Indian J Crit Care Med 2017 Nov;21(11):789-792

Department of Pediatrics, CSI Kalyani Hospital, Chennai, Tamil Nadu, India.

Meckel's diverticulum is a remnant of the proximal part of the vitellointestinal duct and is the most common congenital anomaly of the gastrointestinal tract. It may either remain asymptomatic or present with myriad of clinical presentations. Gastrointestinal bleeding is the most common presentation in children whereas it is intestinal obstruction in the case of adults. Read More

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http://dx.doi.org/10.4103/ijccm.IJCCM_317_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699010PMC
November 2017
33 Reads

Risk factors for recurrent intussusception in children: a retrospective cohort study.

BMJ Open 2017 Nov 16;7(11):e018604. Epub 2017 Nov 16.

Department of Pediatric Surgery, Children's Hospital of Soochow University, Suzhou, China.

Objective: The aim of this study was to assess the frequency of clinical features and pathological lead points in recurrent intussusception, with a special focus on the risk factors that lead to recurrent intussusception.

Design: This is a retrospective cohort study. A 5-year retrospective study was performed between January 2012 and July 2016 in the Children's Hospital of Soochow University, Suzhou, China, to determine the clinical features and pathological lead points of recurrent intussusception. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-018604DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702016PMC
November 2017
10 Reads

Ileocolic intussusception: Predicting the probability of success of ultrasound guided saline enema from clinical and sonographic data.

J Pediatr Surg 2018 Apr 15;53(4):599-604. Epub 2017 Nov 15.

Department of Pediatric Surgery, Hospital Sant Joan de Déu, Universitat de Barcelona. Passeig Sant Joan de Déu 2, 08950 Esplugues de Llobregat, Barcelona, Spain. Electronic address:

Background/purpose: To identify factors that dim the efficacy of ultrasound guided saline enema (USGSE) and to design a mathematical model for predicting the probability of success of USGSE.

Methods: Retrospective review of patients admitted with the diagnosis of ileocolic intussusception from 2009 to 2014. Demographics, clinical and sonographic data were reviewed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468173070
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http://dx.doi.org/10.1016/j.jpedsurg.2017.10.050DOI Listing
April 2018
2 Reads

The 'ins' and 'outs' of intussusception: Where best practice reduces the need for surgery.

J Paediatr Child Health 2017 Nov;53(11):1118-1122

Department of Paediatric Surgery, Christchurch Hospital, Christchurch, New Zealand.

Intussusception may be difficult to diagnose because the classical triad of symptoms is evident at the time of presentation in only about 20% of cases. This may lead to delays in making the correct diagnosis. The most common presenting features are colicky abdominal pain, vomiting, pallor, lethargy and listlessness. Read More

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http://dx.doi.org/10.1111/jpc.13738DOI Listing
November 2017
4 Reads

Use of ultrasound in diagnosing postoperative small-bowel intussusception in pediatric surgical oncology patients: a single-center retrospective review.

Pediatr Radiol 2018 02 30;48(2):204-209. Epub 2017 Oct 30.

Department of Surgery, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Mail Stop 133, Memphis, TN, 38105-3678, USA.

Background: Postoperative intussusception can be a complication of abdominal surgery and often poses a diagnostic dilemma.

Objective: The purpose of this study was to evaluate the utility of ultrasonography in the diagnosis of intussusception in children who had recently undergone resection of a primary solid tumor.

Materials And Methods: We performed a retrospective review of all pediatric surgical oncology patients undergoing laparotomy for excision of an abdominal tumor at our institution from 1995 to 2015. Read More

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http://dx.doi.org/10.1007/s00247-017-4018-3DOI Listing
February 2018
12 Reads

Clinical characteristics of Meckel diverticulum in children: A retrospective review of a 15-year single-center experience.

Medicine (Baltimore) 2017 Aug;96(32):e7760

aDepartment of Pediatric Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University bDepartment of Pediatric Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Meckel diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract in children. The aim of this study was to review and analyze clinical data on the diagnosis and management of Meckel diverticulum in pediatric patients. The records of 102 pediatric patients (<14 years old) who underwent surgery for Meckel diverticulum at our institute between 2001 and 2015 were reviewed. Read More

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http://Insights.ovid.com/crossref?an=00005792-201708110-0004
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http://dx.doi.org/10.1097/MD.0000000000007760DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556236PMC
August 2017
24 Reads

A Case Report of a Child With Purpura, Severe Abdominal Pain, and Hematochezia.

Gastroenterology 2017 Sep 3;153(3):e10-e11. Epub 2017 Aug 3.

Department of Pediatrics, Pediatric Nephrology, Ghent University Hospital, De Pintelaan, Belgium.

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http://dx.doi.org/10.1053/j.gastro.2017.01.059DOI Listing
September 2017
14 Reads

Intussusception: past, present and future.

Pediatr Radiol 2017 Aug 4;47(9):1101-1108. Epub 2017 Aug 4.

Department of Radiology and Biomedical Imaging, Benioff Children's Hospital, University of California San Francisco, 505 Parnassus Ave, San Francisco, CA, 94143, USA.

Intussusception is a common etiology of acute abdominal pain in children. Over the last 70 years, there have been significant changes in how we diagnose and treat intussusception, with a more recent focus on the role of ultrasound. In this article we discuss historical and current approaches to intussusception, with an emphasis on ultrasound as a diagnostic and therapeutic modality. Read More

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http://link.springer.com/10.1007/s00247-017-3878-x
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http://dx.doi.org/10.1007/s00247-017-3878-xDOI Listing
August 2017
11 Reads

Appendiceal Intussusception: A Diagnostic Challenge.

Eur J Pediatr Surg 2018 Feb 25;28(1):30-33. Epub 2017 Jul 25.

Department of Pediatric Surgery, Schneider Children's Medical Center of Israel, Sackler Faculty of Medicine, Tel Aviv University, Petah Tikva, Israel.

Introduction:  Appendiceal intussusception is a rare condition in children characterized by an invagination of the appendix into the cecum to various degrees. The treatment is appendectomy; however since symptoms are not specific, clinical diagnosis is challenging and frequently only intraoperative. We present a series of five patients with appendiceal intussusception and discuss features that may direct the pediatric surgeon to achieve early recognition and provide optimal treatment. Read More

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http://dx.doi.org/10.1055/s-0037-1604400DOI Listing
February 2018
5 Reads

Is Intussusception a Middle-of-the-Night Emergency?

Pediatr Emerg Care 2019 Oct;35(10):684-686

Department of Radiology, New York Presbyterian Hospital, Columbia University.

Objectives: Intussusception is the most common abdominal emergency in pediatric patients aged 6 months to 3 years. There is often a delay in diagnosis, as the presentation can be confused for viral gastroenteritis. Given this scenario, we questioned the practice of performing emergency reductions in children during the night when minimal support staff are available. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001246DOI Listing
October 2019
48 Reads

Assessment of a modified technique for air delivery during fluoroscopic-monitored pneumatic intussusception reduction.

Pediatr Radiol 2017 Nov 6;47(12):1594-1598. Epub 2017 Jul 6.

Department of Radiology & Biomedical Imaging, Yale School of Medicine, 333 Cedar St., P.O. Box 208042, New Haven, CT, 06520, USA.

Background: Intussusception is one of the most common causes of acute abdominal emergency in children. Image-monitored pressure reduction is the first line of treatment.

Objective: We report on a modified technique of air delivery during fluoroscopic-monitored pneumatic intussusception reductions, and compare it with an established technique. Read More

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http://dx.doi.org/10.1007/s00247-017-3920-zDOI Listing
November 2017
16 Reads

Management for intussusception in children.

Cochrane Database Syst Rev 2017 Jun 1;6:CD006476. Epub 2017 Jun 1.

University of Sydney, Sydney Adventist Hospital, Wahroonga NSW 2076, Sydney, Australia.

Background: Intussusception is a common abdominal emergency in children with significant morbidity. Prompt diagnosis and management reduces associated risks and the need for surgical intervention. Despite widespread agreement on the use of contrast enema as opposed to surgery for initial management in most cases, debate persists on the appropriate contrast medium, imaging modality, pharmacological adjuvant, and protocol for delayed repeat enema, and on the best approach for surgical management for intussusception in children. Read More

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http://dx.doi.org/10.1002/14651858.CD006476.pub3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481850PMC
June 2017
28 Reads

Effectiveness of Double-balloon Enteroscopy-facilitated Polypectomy in Pediatric Patients With Peutz-Jeghers Syndrome.

J Pediatr Gastroenterol Nutr 2017 11;65(5):500-502

*Sheffield Children's Hospital, Western Bank, Sheffield, United Kingdom †Children's Mercy Hospital, Kansas City, MO.

Sizable small-bowel (SB) polyps in Peutz-Jeghers syndrome (PJS) pose a high risk for intussusception, often necessitating laparotomy and intraoperative enteroscopy. This series examines the effectiveness of double-balloon enteroscopy (DBE) facilitated polypectomy for pediatric patients with PJS. Prospective analysis of collected data (6 years) on all patients with PJS referred for DBE-facilitated SB polypectomy at a pediatric tertiary-referral center. Read More

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http://dx.doi.org/10.1097/MPG.0000000000001576DOI Listing
November 2017
7 Reads

Reoperation After Cyst Excision with Hepaticojejunostomy for Choledochal Cysts: Our Experience in 18 Cases.

Med Sci Monit 2017 Mar 20;23:1371-1377. Epub 2017 Mar 20.

Department of General Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China (mainland).

BACKGROUND Complete cyst excision with biliary reconstruction is the treatment of choice for choledochal cyst (CC). The aim of this article is to review our experience in patients who underwent reoperation between January 1995 and December 2014. MATERIAL AND METHODS The records of 18 patients (female/male, 15/3) were retrospectively analyzed including age, sex, cyst type, initial procedure, lab and imaging findings, indications for reoperation, intraoperative findings, and results of reoperation. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5370397PMC
http://dx.doi.org/10.12659/msm.900313DOI Listing
March 2017
19 Reads

Unusual ultrasound appearance of small bowel intussusception and secondary bowel obstruction in a child with Peutz-Jeghers syndrome.

Clin Imaging 2017 May - Jun;43:136-139. Epub 2017 Mar 9.

Seattle Children's Hospital, Department of Radiology, University of Washington, Seattle, WA, United States. Electronic address:

Small bowel intussusception (SBI) in pediatric patients resolves spontaneously in the majority of cases. Pathologic small bowel intussusception with a lead point is rare in children. Ultrasound (US) is the preferred initial imaging study for the diagnosis of intussusception. Read More

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http://dx.doi.org/10.1016/j.clinimag.2017.03.006DOI Listing
November 2017
41 Reads

Acute Nonspecific Mesenteric Lymphadenitis: More Than "No Need for Surgery".

Biomed Res Int 2017 2;2017:9784565. Epub 2017 Feb 2.

Pediatric Emergency Department, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Pediatric Unit, Università degli Studi di Milano, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Acute nonspecific, or primary, mesenteric lymphadenitis is a self-limiting inflammatory condition affecting the mesenteric lymph nodes, whose presentation mimics appendicitis or intussusception. It typically occurs in children, adolescents, and young adults. White blood count and C-reactive protein are of limited usefulness in distinguishing between patients with and without mesenteric lymphadenitis. Read More

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http://dx.doi.org/10.1155/2017/9784565DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5312252PMC
April 2017
76 Reads

Invagination bei Kindern: Bildgebende Verfahren zur Bewertung und Therapiewahl.

Authors:

Rofo 2017 Feb 31;189(2):115-116. Epub 2017 Jan 31.

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http://dx.doi.org/10.1055/s-0042-122072DOI Listing
February 2017
16 Reads