Intussusception: An anatomical perspective with review of the literature

Loukas, Marios; Pellerin, Megan; Kimball, Zachary; Garza-Jordan, Julia de la; Tubbs, R. Shane; Jordan, Robert

doi:10.1002/ca.21099

Cited by 32 publications

(42 citation statements)

References 79 publications

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“…If an intussusception has a lead point, the CT usually reveals signs of bowel obstruction, a lead mass, or edema disrupting the three-layer appearance of the bowel. The patient in this case report had a lead mass, colon wall thickness irregularities, and evidence of bowel obstruction [7].…”

Section: Discussionmentioning

confidence: 72%

A Rare Case of Adult Colonic Intussusception From Benign Etiology

Sunkara

Caughey

Gaduputi³

et al. 2017

American Journal of Gastroenterology

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Section: Discussionmentioning

confidence: 72%

A Rare Case of Adult Colonic Intussusception From Benign Etiology

Sunkara

Caughey

Gaduputi³

et al. 2017

American Journal of Gastroenterology

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“…Intussusception is one of the most common abdominal 8 emergencies for children . It is the second most common cause 2,18 of acute abdomen and bowel obstruction in children . The worldwide incidence was estimated around 1/10.000 children 8,13 and 1/1.000 emergency department cases .…”

Section: Introductionmentioning

confidence: 99%

Clinical Manifestations, Vital Signs, and Bowel Viability In Pediatric Intussusception

Siregar

2020

Global Journal for Research Analysis

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INTRODUCTION: Intussusception is a condition in which part of the intestine slides into an adjacent part of the intestine. Intussusception is an important cause of an acute abdomen and the second most common cause of bowel obstruction in children. The classic triad of intussusception, including vomiting, abdominal colic pain, and bloody stool. However, the triad has only been reported in <50% cases. This study is aimed to evaluate the clinical manifestation, vital signs, and bowel viability in pediatric intussusception. METHODS: This is an observational retrospective study with total sampling. RESULTS: Based on clinical characteristics, there were 44.44% subjects who had manifestations for 2-3 days. Ileocolic was the most common location (77.78%). Majority of the subjects did not have the classic triad (66.67%), had red currant jelly stool (62.96%), did not have abdominal mass (59.26%), complained of abdominal pain (70.37%), did not have abdominal distention (74.07%), did not vomit (55.5%), was lethargic (59.26%), and had viable bowel (62.96%). CONCLUSION: This study found that the most common manifestations of intussusception in children were abdominal pain, red currant jelly stool, and lethargy, with viable bowel and located at ileocolic.

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“…Signs and symptoms of intussusception include acute pain, nausea, lethargy, vomiting and sometimes bleeding from the rectum (“red currant jelly”) [1]. Although intussusception generally remits spontaneously, in a number of cases either contrast enema or surgery is needed to treat the disorder [2]. The causes of intussusception include infections and vaccination with rotavirus vaccine, but organic disorders such as malignancy tend to predominate in adults.…”

Section: Introductionmentioning

confidence: 99%

A large nationwide population-based case–control study of the association between intussusception and later celiac disease

et al. 2013

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BackgroundCase reports and case series studies suggest a positive association between intussusception and celiac disease (CD).MethodsWe contacted Sweden’s 28 pathology departments and obtained data on 29,096 patients with biopsy-verified CD (equal to Marsh stage 3) through biopsy reports. Patients with CD were matched for age, sex, calendar period and county of residence with up to five reference individuals from the general population (n = 144,522). Cases of intussusception were identified from nationwide inpatient, hospital-based outpatient and day-surgery data from the Swedish Patient Register.Odds ratios (ORs) for future CD in patients with intussusception were estimated using conditional logistic regression.Results34 (0.12%) individuals with CD had a diagnosis of intussusception vs. 143 (0.10%) reference individuals, suggesting that intussusception was not a risk factor for later CD (OR = 1.17; 95% confidence interval (CI) = 0.82–1.67). The OR for CD in patients with at least two records of intussusception was 0.40 (95% CI = 0.06–2.99).In contrast, a post-hoc analysis showed that CD was associated with a statistically significantly increased risk of intussusception after CD diagnosis (hazard ratio = 1.95; 95% CI = 1.01–3.77); however, this analysis was based on only 12 cases with both CD and intussusception.ConclusionWe found no association between intussusception and future CD; and a mostly modest increased risk of intussusception after a diagnosis of CD.

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Intussusception: An anatomical perspective with review of the literature

Cited by 32 publications

References 79 publications

A Rare Case of Adult Colonic Intussusception From Benign Etiology

A Rare Case of Adult Colonic Intussusception From Benign Etiology

Clinical Manifestations, Vital Signs, and Bowel Viability In Pediatric Intussusception

A large nationwide population-based case–control study of the association between intussusception and later celiac disease

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