eMedicine Specialties > Radiology > Pediatrics

Intussusception, Child: Multimedia

Author: Beverly P Wood, MD, PhD, Professor Emerita, Departments of Radiology and Pediatrics, Division of Medical Education, Keck School of Medicine, University of Southern California; Professor of Clinical Radiology, Loma Linda University School of Medicine
Contributor Information and Disclosures

Updated: Jul 2, 2008

Multimedia

Upright and supine anteroposterior abdominal radi...
(Enlarge Image)
Media file 1: Upright and supine anteroposterior abdominal radiographs in an infant with crying and bloody diarrhea for 12 hours show a small bowel obstruction pattern and little gas in the cecal region.
[ CLOSE WINDOW ]
Upright and supine anteroposterior abdominal radi...

Upright and supine anteroposterior abdominal radiographs in an infant with crying and bloody diarrhea for 12 hours show a small bowel obstruction pattern and little gas in the cecal region.

In this x-ray of a patient being treated with con...
(Enlarge Image)
Media file 2: In this x-ray of a patient being treated with contrast enema, the convex-shaped filling defect of the intussusceptum should be noted; the intussusceptum is reduced to the level of the cecum.
[ CLOSE WINDOW ]
In this x-ray of a patient being treated with con...

In this x-ray of a patient being treated with contrast enema, the convex-shaped filling defect of the intussusceptum should be noted; the intussusceptum is reduced to the level of the cecum.

Longitudinal ultrasound of a patient with suspect...
(Enlarge Image)
Media file 3: Longitudinal ultrasound of a patient with suspected intussusception shows the layered bowel walls of the outer and inner loop, the intussuscipiens, and the intussusceptum.
[ CLOSE WINDOW ]
Longitudinal ultrasound of a patient with suspect...

Longitudinal ultrasound of a patient with suspected intussusception shows the layered bowel walls of the outer and inner loop, the intussuscipiens, and the intussusceptum.

This vomiting 10-month-old infant has a palpable ...
(Enlarge Image)
Media file 4: This vomiting 10-month-old infant has a palpable abdominal mass. Note the obstruction pattern on plain radiograph and the intussusceptum in the sigmoid colon on contrast enema.
[ CLOSE WINDOW ]
This vomiting 10-month-old infant has a palpable ...

This vomiting 10-month-old infant has a palpable abdominal mass. Note the obstruction pattern on plain radiograph and the intussusceptum in the sigmoid colon on contrast enema.

Radiograph of a 14-month-old boy who has been exp...
(Enlarge Image)
Media file 5: Radiograph of a 14-month-old boy who has been experiencing blood in the stool for 3 days. An absence of cecal air and an obstruction pattern are seen. Next, a spot radiograph during an air reduction shows the intussusceptum. Finally, the reduced intussusception with air in the small bowel is seen.
[ CLOSE WINDOW ]
Radiograph of a 14-month-old boy who has been exp...

Radiograph of a 14-month-old boy who has been experiencing blood in the stool for 3 days. An absence of cecal air and an obstruction pattern are seen. Next, a spot radiograph during an air reduction shows the intussusceptum. Finally, the reduced intussusception with air in the small bowel is seen.

Surgical specimen of an intussusception. Note the...
(Enlarge Image)
Media file 6: Surgical specimen of an intussusception. Note the dilated intussuscipiens.
[ CLOSE WINDOW ]
Surgical specimen of an intussusception. Note the...

Surgical specimen of an intussusception. Note the dilated intussuscipiens.

Note the internal inverted loop of bowel in the s...
(Enlarge Image)
Media file 7: Note the internal inverted loop of bowel in the specimen.
[ CLOSE WINDOW ]
Note the internal inverted loop of bowel in the s...

Note the internal inverted loop of bowel in the specimen.

CT is not indicated for intussusception; however,...
(Enlarge Image)
Media file 8: CT is not indicated for intussusception; however, this infant was thought to have an abdominal mass. Note the dilated bowel with an internal loop shown on the single section from an abdominal CT.
[ CLOSE WINDOW ]
CT is not indicated for intussusception; however,...

CT is not indicated for intussusception; however, this infant was thought to have an abdominal mass. Note the dilated bowel with an internal loop shown on the single section from an abdominal CT.

Note the typical mass creates a curved density to...
(Enlarge Image)
Media file 9: Note the typical mass creates a curved density to the air in the transverse colon.
[ CLOSE WINDOW ]
Note the typical mass creates a curved density to...

Note the typical mass creates a curved density to the air in the transverse colon.

A contrast-reduced intussusception shows backward...
(Enlarge Image)
Media file 10: A contrast-reduced intussusception shows backward flow of barium into the small bowel.
[ CLOSE WINDOW ]
A contrast-reduced intussusception shows backward...

A contrast-reduced intussusception shows backward flow of barium into the small bowel.

Reduction of an intussusceptum through the ileoce...
(Enlarge Image)
Media file 11: Reduction of an intussusceptum through the ileocecal valve is the most difficult part of the reduction. The mass is seen in the cecum (A).
[ CLOSE WINDOW ]
Reduction of an intussusceptum through the ileoce...

Reduction of an intussusceptum through the ileocecal valve is the most difficult part of the reduction. The mass is seen in the cecum (A).

On the second attempt at reduction, the intussusc...
(Enlarge Image)
Media file 12: On the second attempt at reduction, the intussusceptum still extends through the ileocecal valve (B). Reduction was unsuccessful.
[ CLOSE WINDOW ]
On the second attempt at reduction, the intussusc...

On the second attempt at reduction, the intussusceptum still extends through the ileocecal valve (B). Reduction was unsuccessful.

The ileocecal valve is usually quite edematous af...
(Enlarge Image)
Media file 13: The ileocecal valve is usually quite edematous after an intussusception has occurred; it may remain large for several days. In this patient, the ileocecal valve was mistaken for an intussusception, although barium had entered the ileum.
[ CLOSE WINDOW ]
The ileocecal valve is usually quite edematous af...

The ileocecal valve is usually quite edematous after an intussusception has occurred; it may remain large for several days. In this patient, the ileocecal valve was mistaken for an intussusception, although barium had entered the ileum.

The appearance of the ileocecal valve at resectio...
(Enlarge Image)
Media file 14: The appearance of the ileocecal valve at resection is edematous and enlarged (B).
[ CLOSE WINDOW ]
The appearance of the ileocecal valve at resectio...

The appearance of the ileocecal valve at resection is edematous and enlarged (B).

More on Intussusception, Child

Overview: Intussusception, Child
Imaging: Intussusception, Child
Follow-up: Intussusception, Child
Multimedia: Intussusception, Child
References
Further Reading
[ CLOSE WINDOW ]

References

  1. DiFiore JW. Intussusception. Semin Pediatr Surg. Nov 1999;8(4):214-20. [Medline].

  2. Simpson T, Ivey J, Borkowski S. Pediatric management problems. Intussusception. Pediatr Nurs. Jul-Aug 2004;30(4):326-7. [Medline].

  3. Rennels MB. The rotavirus vaccine story: a clinical investigator''s view. Pediatrics. Jul 2000;106(1 Pt 1):123-5. [Medline].

  4. Lai WP, Yang YJ, Cheng CN, Chen JS. Clinico-pathological features of intussusception in children beyond five years old. Acta Paediatr Taiwan. Sep-Oct 2007;48(5):267-71. [Medline].

  5. Heller RM, Hernanz-Schulman M. Applications of new imaging modalities to the evaluation of common pediatric conditions. J Pediatr. Nov 1999;135(5):632-9. [Medline].

  6. Peh WC, Khong PL, Lam C, et al. Reduction of intussusception in children using sonographic guidance. AJR Am J Roentgenol. Oct 1999;173(4):985-8. [Medline].

  7. Gu L, Zhu H, Wang S, et al. Sonographic guidance of air enema for intussusception reduction in children. Pediatr Radiol. May 2000;30(5):339-42. [Medline].

  8. Holt S, Samuel E. Multiple concentric ring sign in the ultrasonographic diagnosis of intussusception. Gastrointest Radiol. Aug 31 1978;3(3):307-9. [Medline].

  9. Navarro OM, Daneman A, Chae A. Intussusception: the use of delayed, repeated reduction attempts and the management of intussusceptions due to pathologic lead points in pediatric patients. AJR Am J Roentgenol. May 2004;182(5):1169-76. [Medline].

  10. Chang YT, Lee JY, Wang JY, Chiou CS, Lin JY. Early laparoscopy for ileocolic intussusception with multiple recurrences in children. Surg Endosc. Jun 5 2008;[Medline].

  11. Ramachandran P, Gupta A, Vincent P, Sridharan S. Air enema for intussusception: is predicting the outcome important?. Pediatr Surg Int. Mar 2008;24(3):311-3. [Medline].

  12. Conners GP, Weber CE, Emmens RW. Intussusception following a baby walker injury. J Emerg Med. Mar-Apr 1999;17(2):269-71. [Medline].

  13. Vestergaard H, Westergaard T, Wohlfahrt J, Pipper C, Melbye M. Association between intussusception and tonsil disease in childhood. Epidemiology. Jan 2008;19(1):71-4. [Medline].

[ CLOSE WINDOW ]

Further Reading

Related eMedicine topics:
Intussusception
Pediatrics, Intussusception

[ CLOSE WINDOW ]

Keywords

child intussusception, pediatric intussusception, ileocolic intussusception, ileoileal intussusception, colocolic intussusception

[ CLOSE WINDOW ]

Contributor Information and Disclosures

Author

Beverly P Wood, MD, PhD, Professor Emerita, Departments of Radiology and Pediatrics, Division of Medical Education, Keck School of Medicine, University of Southern California; Professor of Clinical Radiology, Loma Linda University School of Medicine
Beverly P Wood, MD, PhD is a member of the following medical societies: American Academy of Pediatrics, American Association for Women Radiologists, American College of Radiology, American Institute of Ultrasound in Medicine, American Medical Association, American Roentgen Ray Society, Association of University Radiologists, Radiological Society of North America, and Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Medical Editor

Lori Lee Barr, MD, FACR, FAIUM, Clinical Associate Professor of Radiology, University of Texas Health Science Center in San Antonio; Clinical Assistant Professor of Radiology, University of Texas Medical Branch at Galveston; Member, Board of Directors, Austin Radiological Association; Consulting Staff, Seton Health Network, Columbia/St David's Healthcare System, Healthsouth Rehabilitation Hospital of Austin, Georgetown Hospital, St Mark's Medical Center, Cedar Park Regional Medical Center
Lori Lee Barr, MD, FACR, FAIUM is a member of the following medical societies: American Association for Women Radiologists, American College of Radiology, American Institute of Ultrasound in Medicine, American Roentgen Ray Society, American Society of Pediatric Neuroradiology, Association of University Radiologists, Radiological Society of North America, Society for Pediatric Radiology, Society of Radiologists in Ultrasound, Southern Medical Association, Texas Radiological Society, and Undersea and Hyperbaric Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

David A Stringer, BSc, MBBS, FRCR, FRCPC, Professor, National University of Singapore; Head, Diagnostic Imaging, KK Women's and Children's Hospital, Singapore
David A Stringer, BSc, MBBS, FRCR, FRCPC is a member of the following medical societies: British Columbia Medical Association, Canadian Association of Radiologists, European Society of Paediatric Radiology, Ontario Medical Association, Radiological Society of North America, Royal College of Physicians and Surgeons of Canada, Royal College of Radiologists, and Society for Pediatric Radiology
Disclosure: Sirius d'innovation None Board membership

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

John Karani, MBBS, FRCR, Clinical Director of Radiology and Consultant Radiologist, Department of Radiology, King's College Hospital, London
John Karani, MBBS, FRCR is a member of the following medical societies: British Institute of Radiology, British Society of Interventional Radiology, Cardiovascular and Interventional Radiological Society of Europe, European Society of Gastrointestinal and Abdominal Radiology, European Society of Radiology, Radiological Society of North America, and Royal College of Radiologists
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.