PMID: 8598990Jan 1, 1996Paper

CT of intussusception in the pediatric patient: diagnosis and pitfalls

Pediatric Radiology
T D CoxE Weinberger

Abstract

Intussusception in the pediatric patient may have a varied clinical presentation depending on its location, presence of lead point, intermittent occurrence, or underlying systemic disease. Computed tomography (CT) may be used at times in the evaluation of children with complicated presentations. The purpose of this investigation was to review the findings of CT images obtained in children with intussusception. Five patients with intussusception were diagnosed by CT at our institution between 1989 and 1994. An intraluminal mass was found in all patients. Intraluminal eccentrically located fat, as well as the target sign of alternating layers of high and low attenuation, was seen in most patients. In patients with a more long-standing process, fluid-distended loops, inflammation, and loss of tissue planes were seen and corresponded with necrosis and areas of nonviable bowel found at surgery. Finally, potential pitfalls with the layered or target appearance are discussed in the form of two patients who were initially felt to have intussusception at CT, but in whom the target appearance was later found to be due to other processes.

References

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Citations

Jan 15, 2009·Pediatric Radiology·Charles M Maxfield, Petek Bayindir
Feb 20, 2007·European Radiology·Hyun Soo KoWiltrud K Rohrschneider
Oct 6, 2006·Pediatric Surgery International·A N ShapkinaL T Pryanishena
Jul 25, 2009·Pediatric Surgery International·Kerry BergmanWilliam Matuozzi
Oct 30, 2010·International Journal of Emergency Medicine·Brian T Kloss
Oct 12, 2000·Current Problems in Diagnostic Radiology·S D John
Nov 20, 2008·Pediatric Emergency Care·Muhammad Waseem, Henrietta Kotlus Rosenberg
Apr 17, 2010·Clinical Nuclear Medicine·Zhaohui ZhuWuying Cheng
Jul 11, 2007·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Alvin C SilvaC Daniel Johnson
Apr 16, 2003·Pediatric Radiology·Peter J StrouseFermin Saez
Jan 29, 2014·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·D OberleB Keller-Stanislawski
Mar 12, 2016·Indian Journal of Pediatrics·Anu Eapen, Sridhar Gibikote
Feb 24, 2012·European Journal of Gastroenterology & Hepatology·Xiao-Dong ChenZong-Guang Zhou
Jul 4, 2012·Pediatrics International : Official Journal of the Japan Pediatric Society·Yasuo ItoMasahiro Yoshida
Feb 28, 2002·Current Problems in Pediatric and Adolescent Health Care·S D John

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