740 results match your criteria Imaging in Child Intussusception


CT Texture Analysis for Preoperative Identification of Lymphoma from Other Types of Primary Small Bowel Malignancies.

Biomed Res Int 2021 2;2021:5519144. Epub 2021 Apr 2.

Department of Radiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.

Objectives: To explore the application of computed tomography (CT) texture analysis in differentiating lymphomas from other malignancies of the small bowel.

Methods: Arterial and venous CT images of 87 patients with small bowel malignancies were retrospectively analyzed. The subjective radiological features were evaluated by the two radiologists with a consensus agreement. Read More

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Ultrasound-guided hydrostatic enema reduction of intussusception and confirmation with single abdominal radiograph in children.

J Clin Ultrasound 2021 Jun 29;49(5):451-455. Epub 2021 Mar 29.

Department of Pediatric Surgery, Dokuz Eylül University, Medical School, Izmir, Turkey.

Purpose: To detect false-positive reduction results after ultrasound (US)-guided hydrostatic intussusception reduction, we have incorporated water-soluble contrast material to the enema fluid and confirmed the reduction with a single abdominal radiograph. We present the results of the combined imaging method for the reduction of intussusception in children.

Materials And Methods: The records of the patients who were treated for intussusception were analyzed retrospectively. Read More

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Child with dengue haemorrhagic fever complicated by ileocaecal intussusception.

BMJ Case Rep 2021 Mar 16;14(3). Epub 2021 Mar 16.

Department of Paediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK

Dengue fever is one of the most common neglected tropical diseases with an increasing trend seen in Sri Lanka and many other tropical countries. A number of unusual presentations and complications of dengue fever have been reported, and acute abdomen is one such presentation. However, intussusception as the cause of acute abdomen in a patient with dengue haemorrhagic fever has not been previously reported. Read More

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Epidemiology of Hospitalized Intussusception Cases from Northern States in India.

Indian J Pediatr 2021 03 16;88(Suppl 1):118-123. Epub 2021 Jan 16.

The Wellcome Trust Research Laboratory, Christian Medical College, Vellore, Tamil Nadu, India.

Objective: To describe epidemiology of intussusception post-introduction of the rotavirus vaccine.

Methods: Hospital-based active surveillance system was set up in three tertiary care hospitals in Chandigarh and Haryana, India, to enroll children <2 y of age admitted with intussusception as per Brighton Collaboration Level-I criteria. The clinical characteristics, treatment modalities, seasonal trends, and outcome of the illness episodes were described. Read More

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A case of multiple recurrent intussusceptions due to multiple lymphomatous polyposis associated with diffuse large B-cell lymphoma of gastrointestinal tract in a 15-year-old child: A rare case report.

Int J Surg Case Rep 2021 Feb 31;79:44-48. Epub 2020 Dec 31.

Department of Gastrointestinal and Hepatobiliary Surgery, CK Birla RBH Hospital, Jaipur, Rajasthan, India. Electronic address:

Introduction And Importance: Multiple lymphomatous polyposis (MLP) is a distinctive and rare entity of primary gastrointestinal (GI) lymphoma characterized by polypoid lymphomatous tissue in long segments of the gut and a strong tendency for spread throughout the GI tract. Although many cases of MLP presenting as intussusceptions in adults have been reported, we report a rare case of multiple recurrent intussusceptions due to MLP associated with high-grade Diffuse Large B-cell lymphoma (DLBCL) of the entire GI tract in a 15-year-old child.

Case Presentation: A 15-year-old child previously operated for acute intestinal obstruction, presented with intermittent abdominal pain, nausea and vomiting. Read More

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February 2021

Untwisting the complexity of midgut malrotation and volvulus ultrasound.

Pediatr Radiol 2021 Apr 4;51(4):658-668. Epub 2021 Jan 4.

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

Abdominal US is emerging as an alternative to the upper gastrointestinal (GI) series as the preferred diagnostic imaging test for midgut malrotation complicated by volvulus. Unlike the upper GI series, US is free from ionizing radiation, does not require oral contrast agent, and can be performed portably and at times remotely from the interpreting radiologist, expediting diagnosis. Although some institutions do not have a standardized US protocol for midgut volvulus, many routinely use US in the setting of an infant or child with acute abdominal signs or symptoms to evaluate for common conditions such as hypertrophic pyloric stenosis, intussusception, necrotizing enterocolitis and appendicitis. Read More

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Intussusception as a rare clinical presentation of a child with type 1 diabetes and diabetic ketoacidosis.

BMJ Case Rep 2020 Dec 9;13(12). Epub 2020 Dec 9.

Department of Pediatrics, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India.

Intussusception in children is mainly idiopathic or due to a viral aetiology. Occasionally, pathological lead points like Meckel diverticulum or rarely metabolic causes like hyperglycaemia can result in formation of an intussusception. We describe the case of a boy with diabetic ketoacidosis presenting with abdominal pain. Read More

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December 2020

Preoperative sonographic diagnosis of McSwain type V appendiceal intussusception: A case report (with video).

Medicine (Baltimore) 2020 Dec;99(49):e23452

Department of paediatric surgery, Hunan Children's Hospital, Changsha, Hunan Province, China.

Rationale: Appendiceal intussusception is a rare disease. The definite preoperative diagnosis of appendiceal intussusception is rare and challenging. Here, we present a case of McSwain type V appendiceal intussusception in a 10-year-old boy. Read More

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December 2020

Clinical features and factors leading to early recurrence of intussusception after saline reduction.

J Pak Med Assoc 2020 Oct;70(10):1727-1730

Department of Pediatric Surgery, Weifang Peoples Hospital, Weifang City, Shandong Province, China.

Objective: To investigate the clinical characteristics of early recurrent intussusception after ultrasound-guided saline reduction, and to explore the factors leading to early recurrence.

Methods: The retrospective observational case-control study was conducted at Weifang People's Hospital, Shandong, China, and comprised data from January 2015 to December 2017 related to paediatric intussusception patients aged 0-12 years who underwent ultrasound-guided saline enema reduction. The patients were divided into two recurrent and non-recurrent groups. Read More

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October 2020

Practical Imaging Strategies for Intussusception in Children.

AJR Am J Roentgenol 2020 12 21;215(6):1449-1463. Epub 2020 Oct 21.

Department of Radiology, Boston Children's Hospital, Harvard Medical School, Boston, MA.

Intussusception is the most common cause of intestinal obstruction in young children. Radiology has a key role in its diagnosis and treatment. This systematic review summarizes the currently available evidence for best practices in radiologic management of pediatric intussusception. Read More

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December 2020

Deep learning algorithms for detecting and visualising intussusception on plain abdominal radiography in children: a retrospective multicenter study.

Sci Rep 2020 10 16;10(1):17582. Epub 2020 Oct 16.

Department of Emergency Medicine, Seoul National University Bundang Hospital, Gyeonggi-do, Republic of Korea.

This study aimed to verify a deep convolutional neural network (CNN) algorithm to detect intussusception in children using a human-annotated data set of plain abdominal X-rays from affected children. From January 2005 to August 2019, 1449 images were collected from plain abdominal X-rays of patients ≤ 6 years old who were diagnosed with intussusception while 9935 images were collected from patients without intussusception from three tertiary academic hospitals (A, B, and C data sets). Single Shot MultiBox Detector and ResNet were used for abdominal detection and intussusception classification, respectively. Read More

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October 2020

Intussusception in a child with COVID-19 in the USA.

Emerg Radiol 2020 Dec 6;27(6):761-764. Epub 2020 Oct 6.

Department of Radiology, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.

COVID-19, caused by the novel coronavirus strain SARS-CoV-2 that emerged in late 2019, has resulted in a global pandemic. COVID-19 was initially believed to occur less frequently in children with relatively mild disease. However, severe disease and varied presentations have been reported in infected children, one of such being intussusception. Read More

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December 2020

Ultrasonographic Diagnosis of Intussusception in Children: A Systematic Review and Meta-Analysis.

J Ultrasound Med 2021 Jun 16;40(6):1077-1084. Epub 2020 Sep 16.

Department of Ultrasound, China-Japan Union Hospital of Jilin University, Changchun, Jilin Province, Peoples Republic of China.

Ultrasonography offers a unique advantage in the clinical diagnosis of intussusception. We aimed to evaluate the diagnostic accuracy of ultrasonography in pediatric intussusception. The PubMed, Embase, Web of Science, Cochrane Library databases, and African Journals Online database were searched for studies pertaining to ultrasonographic diagnosis of intussusception in children. Read More

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A rare case of bowel intussusception due to adenocarcinomatous polyp in a 14 year-old child: case report.

BMC Surg 2020 Sep 11;20(1):198. Epub 2020 Sep 11.

Department of Surgery, Faculty of Medicine, Aleppo University Hospital, University of Aleppo, Aleppo, Syria.

Background: Intussusception is a form of intestinal obstruction in which a segment of the bowel prolapses into a more distal segment. It is an uncommon condition in children older than 2 years and causes intestinal obstruction. On the contrary of adult intussusception, childhood intussusception does not usually happen on a lead point of a malignant organic lesion. Read More

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September 2020

Clinical management and recommendations for children with more than four episodes of recurrent intussusception following successful reduction of each: an institutional review.

Clin Radiol 2020 11 28;75(11):864-867. Epub 2020 Sep 28.

Department of Radiology, Children's Hospital Los Angeles, Los Angeles, CA, USA.

Aim: To describe patterns and risk factors of multiple recurrences to optimise management for pediatric patients with more than four episodes of intussusception.

Materials And Methods: Following IRB approval, all sonographic evaluations for intussusception in patients <18 years over a 6-year period were reviewed. Data extracted included age at onset of first intussusception, gender, presenting symptoms, symptoms upon recurrence, presence of pathological lead points, and surgical findings. Read More

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November 2020

[Case report of hereditary hemorrhagic telangiectasia in children and literature review].

Zhonghua Er Ke Za Zhi 2020 Aug;58(8):674-678

Department No. 2 of Respiratory Diseases, Beijing Children's Hospital Affiliated to Capital Medical University, National Center for Children's Health, Beijing 100045, China.

To analyze the clinical features of 2 children with hereditary hemorrhagic telangiectasia (HHT) and review relevant literature. The clinical data of 2 children with HHT who were admitted to Beijing Children's Hospital, Capital Medical University from February 2017 to June 2018 were retrospectively analyzed. Meanwhile, the relevant papers published before December 2019 in Wanfang and Pubmed database were searched with the key words of "hereditary hemorrhagic telangiectasia" in Chinese and English, and reviewed. Read More

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Modern understanding of intussusception and recent trends in management

Orv Hetil 2020 08;161(32):1331-1338

Gyermeksebészeti, Traumatológiai és Égési Osztály,Borsod-Abaúj-Zemplén Megyei Központi Kórház és Egyetemi Oktatókórház, Miskolc.

Intussusception is one of the most common abdominal emergencies in children. The understanding of its aetiology and management has changed significantly over the last decades. Earlier, the hypertrophic Peyer's patches and polyps were considered responsible, but with the knowledge obtained from the lipopolysaccharide-induced animal model of intussusception, the rotavirus vaccination, the seasonality and the postnatal changes of the enteric nervous system it became clear that the intestinal motility plays a key role in the aetiology. Read More

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Sedated ultrasound guided saline reduction (SUR) of ileocolic intussusception: 20 year experience.

J Pediatr Surg 2020 Oct 30;55(10):2009-2014. Epub 2020 Jun 30.

Department of Radiology, Soroka Medical Center, Ben Gurion University of the Negev, Be'er Sheva, Israel.

Background: Ileocolic intussusception is a common abdominal emergency in children, diagnosed routinely with ultrasound and treated most frequently with fluoroscopic pneumatic reduction without sedation. Alternatively, ultrasound can also be used to obviate ionizing radiation and sedation can be used to avoid discomfort from the procedure. The purpose of this study was to present our experience with sedation using saline enema under ultrasound guided control to reduce ileocolic intussusception. Read More

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October 2020

A case of pneumatosis cystoides intestinalis complicated by intussusception.

Pediatr Int 2020 Aug 16;62(8):987-988. Epub 2020 Jul 16.

Department of Pediatric Surgery, NHO Kokura Medical Center, Kitakyushu, Japan.

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Variation in the Presentation of Intussusception by Age.

Pediatr Emerg Care 2020 Aug;36(8):372-377

From the Boston Children's Hospital, Boston, MA.

Objective: To compare the clinical presentation of intussusception among children younger and older than 24 months of age.

Design/methods: We performed a retrospective cross-sectional cohort study of children treated in the emergency department, aged 1 month to 6 years, who had an abdominal ultrasound to evaluate for intussusception over a 5-year period. After stratifying by an age cut-point of 24 months, univariate and multivariate analyses were performed. Read More

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Preoperative diagnosis of appendiceal intussusception.

Pediatr Int 2020 Aug 3;62(8):992-993. Epub 2020 Jul 3.

Department of Pediatric Surgery, Fukuoka Children's Hospital, Fukuoka, Japan.

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Radiographic findings predictive of irreducibility and surgical resection in ileocolic intussusception.

Pediatr Radiol 2020 08 9;50(9):1249-1254. Epub 2020 Jun 9.

Department of Radiology, Emory University/Children's Healthcare of Atlanta, 1405 Clifton Rd., Atlanta, GA, 30329, USA.

Background: Ileocolic intussusception is a common cause of intestinal obstruction in young children. Radiographs may be of limited value in the diagnosis of intussusception and are sometimes utilized primarily to exclude pneumoperitoneum before therapeutic enema reduction.

Objective: The goal of this study was to determine if radiographic findings in ileocolic intussusception can offer prognostic information regarding the outcome of therapeutic air enema and, for those requiring surgical intervention, surgical outcomes and/or complications. Read More

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Pediatric emergency gastrointestinal ultrasonography: pearls & pitfalls.

Clin Imaging 2020 Aug 13;64:103-118. Epub 2020 Mar 13.

University of Maryland Medical Center, Department of Diagnostic Radiology and Nuclear Medicine, 22 South Greene Street, Baltimore, MD 21201, United States.

Ultrasonography is an essential tool in pediatric imaging, particularly in the emergency setting. Although ultrasound is often the favored initial modality for abdominal imaging in children, it is highly operator-dependent and therefore prone to misinterpretation which can lead to false positive or negative exams, or even incorrect diagnoses. Conditions discussed in this series include ileocolic intussusception, hypertrophic pyloric stenosis, appendicitis, and ingested foreign bodies. Read More

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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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Point-of-care ultrasound may be useful for detecting pediatric intussusception at an early stage.

BMC Pediatr 2020 04 13;20(1):155. Epub 2020 Apr 13.

Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Background: This study aimed to verify the usefulness of point-of-care ultrasound (POCUS) performed by pediatric emergency physicians for detecting intussusception at an early stage.

Methods: This retrospective study included 1-month- to 6-year-old children with clinically suspected intussusception, who underwent POCUS in the pediatric emergency department between December 2016 and February 2018. The criteria for performing POCUS were set to broader standards: presenting any one of intermittent abdominal pain/irritability or bloody stool, or ≥ 2 symptoms among nonspecific abdominal pain/irritability, abdominal mass/distension, vomiting, or lethargy. Read More

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Diagnosis and treatment of childhood intussusception from 1997 to 2016: A population-based study.

J Pediatr Surg 2020 Aug 12;55(8):1562-1569. Epub 2020 Feb 12.

Department of Surgery, Queen's University, Kingston Health Sciences Centre, 76 Stuart St., Kingston, ON, Canada K7L 2V7; ICES Queen's, Queen's University, Arch Street, Kingston, ON, Canada K7L 3L4.

Objectives: Describe changes in the diagnostic approach and treatment for pediatric intussusception over two decades.

Study Design: Administrative universal healthcare data were used to conduct a population-based cohort study of intussusception between January 1997 and December 2016 in Ontario, Canada. A validated case definition was used to identify all patients (<18 years) treated for intussusception in the province at community or tertiary care centers. Read More

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Air contrast enema reduction of single and recurrent ileocolic intussusceptions in children: patterns, management and outcomes.

Pediatr Radiol 2020 05 31;50(5):664-672. Epub 2020 Jan 31.

Department of Radiology, Boston Children's Hospital, Boston, MA, USA.

Background: There is no consensus as to when surgical intervention should be considered for recurrent ileocolic intussusceptions in a stable patient after previous successful air contrast enema.

Objective: To review the patterns of ileocolic intussusceptions, air contrast enema success rates, and pathologic lead point rates in patients with and without recurrence to evaluate whether treatment outcomes depend on the number and timing between episodes.

Materials And Methods: We retrospectively reviewed 683 children with air contrast enema performed for ileocolic intussusception between January 2000 and May 2018. Read More

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Altered Mental Status as the Primary Presentation of Intussusception in a 3-Month-Old Child Diagnosed by Point-Of-Care Ultrasonography.

J Emerg Med 2020 Feb 20;58(2):e87-e91. Epub 2020 Jan 20.

Department of Pediatrics at Jacobi Hospital, Albert Einstein College of Medicine, Bronx, New York.

Background: Intussusception can lead to significant morbidity in affected children secondary to tissue ischemia and necrosis. When a child outside of the classic age range presents with symptoms other than intermittent abdominal pain, the diagnosis of intussusception can be difficult and is often delayed.

Case Report: We present the case of a three-month-old boy who presented to the emergency department with waxing and waning mental status and seizure-like activity who was ultimately diagnosed with intussusception. Read More

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February 2020