Transient small bowel intussusceptions: ultrasound findings and clinical significance

Mateen, M.A.; Saleem, Sheena; Rao, P. V. V. Prasada; Gangadhar, V.; Reddy, D. Nageshwar

doi:10.1007/s00261-005-0130-1

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…Contrarily, Onkendi et al [48] reported that enteric intussusceptions without a detectable lead point or obstructive symptoms are probably self-limiting and can be managed nonoperatively. Also, Lvoff et al [49] and Mateen et al [50] showed that enteric intussusceptions measuring < 3.5 cm in length do not require surgical exploration. However, if signs of intestinal obstruction or parietal ischemia appear during patient monitoring, a surgical exploration is necessary [47,51].…”

Section: Discussionmentioning

confidence: 99%

Adult Intussusception: An Uncommon Condition and Challenging Management

Tarchouli

Ali

2020

Visc Med

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Introduction: Intussusception is a rare condition in adults. A pathological lesion is usually found with a significant percentage of malignancy. The optimal treatment is still not universally clear. Methods: This is a retrospective review of adult patients with a diagnosis of intestinal intussusception and surgically treated at our institution from January 2009 to December 2018. Clinical, operative, and histological details were collected and analyzed. Results: A total of 26 cases, 16 males and 10 females, were diagnosed with surgically proven intussusception during the 10-year period. The mean age was 45 years (range 21–70). Using ultrasound and/or computed tomography as imaging study, the preoperative diagnosis was made in 21/26 (81%) patients. Five intussusceptions were discovered only upon exploratory laparotomy for intestinal obstruction. There were 19 (73%) cases of enteric and 7 (27%) cases of colonic intussusceptions. All patients underwent surgical exploration. Intestinal resection with immediate anastomosis was the technique of choice for most patients. A single patient underwent stoma for peritonitis secondary to intestinal perforation. An organic cause has been systematically revealed, and no idiopathic intussusception was detected. Etiology was malignant in 9 (35%) cases. Conclusion: Adult intussusception should be considered in any patient with subacute abdominal pain. Considering the high rate of malignancy, intestinal resection without attempting reduction is highly recommended for colonic intussusceptions. However, a more selective approach can be adopted for enteric intussusceptions.

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Section: Discussionmentioning

confidence: 99%

Adult Intussusception: An Uncommon Condition and Challenging Management

Tarchouli

Ali

2020

Visc Med

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“…In some patients, small-bowel intussusception may be an incidental finding. Careful observation may be indicated if imaging does not reveal an identifiable lead point, vascular compromise or bowel obstruction [11] .…”

Section: Discussionmentioning

confidence: 99%

Idiopathic Postpartum Intussusception: A Rare Cause of Acute Abdominal Pain

Kocakoç

Bozgeyik²,

Koç³

et al. 2010

Med Princ Pract

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Objectives: To present a case with acute abdominal pain due to idiopathic intestinal intussusception diagnosed by ultrasound and computed tomography (CT) during the early postpartum period. Clinical Presentation and Intervention: A 21-year-old female patient was admitted to our hospital with abdominal pain, nausea and emesis after a normal vaginal delivery. Laboratory tests done at admission were within normal limits except for leukocytosis. Physical examination revealed abdominal distention, guarding and rebound tenderness. Abdominal ultrasound and oral contrast-enhanced CT showed a complex mass in the hypogastrium, with a typical configuration of intussusception. Emergent laparotomy revealed ileoileal invagination approximately 70 cm to the ileocecal valve but no lead point. A partial ileal resection was performed. Conclusion: This case shows that when intussusception is suspected, an abdominal ultrasound should be performed even in patients with atypical symptoms. CT may be used to confirm the diagnosis.

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“…13,16 Absence of color flow in Doppler suggests compromise of the mesenteric vasculature, indicating a potentially difficult reduction and a lower reduction success rate. 1,17,18 Characteristic US findings of the transient small bowel "ileal-ileal" intussusception include small size of the doughnut ring (2-3 cm), no recognizable lead point, short segment length of less than 3.5 cm, normal vascularity on color Doppler US, and preserved wall motion. 1,4,13,16,17,[19][20][21] Due to the availability of US imaging in most emergency departments, small bowel intussusceptions may be readily identified and characterized by these recommended criteria.…”

Section: Discussionmentioning

confidence: 99%