Abstract
The aim of this study was to re-evaluate the specificity of plain film findings in intussusception. The plain film findings in 80 cases of proven intussusception were reviewed. Findings documented were: (1) presence or absence of small bowel obstruction, (2) paucity of right lower quadrant gas, (3) presence of an intracolonic mass, (4) presence of a rim or target sign, and (5) presence of the classic triad of intestinal obstruction, intracolonic mass, and paucity of right lower quadrant gas. Intestinal obstruction was present in 54% of patients. In 19 patients (24%) the abdominal films were completely normal. Paucity of right lower quadrant gas was seen in 10% of patients, while specific findings of a mass or a target (rim) sign were seen in 29% of patients. The classic triad of an intracolonic mass, obstruction, and paucity of gas in the right lower quadrant occurred in only 1 patient (1%). Plain films of the abdomen were diagnostic of intussusception in only 29% of cases. A completely normal gas pattern was seen in one-quarter of our patients. This being the case, most patients with suspected intussusception will require further imaging, either by ultrasound or contrast enema. In our institution we favor the ultrasound study.
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References
Daneman A, Alton DJ (1996) Intussusception issues and controversies related to diagnosis and reduction. Pediatr Gastrointest Radiol 34:743–756
Sargent MA, Babyn P, Alton DJ (1994) Plain abdominal radiography in suspected intussusception: a reassessment. Pediatr Radiol 24:17–20
del-Pozo G, Albilos JC, Tejedor D, Calero R, Rasero M, de-la-Calle U (1999) Intussusception in children: current concepts in diagnosis and enema reduction. Radiographics 19:299–319
Lee JM, Kim H, Bymn YY, et al (1994) Intussusception: characteristic radiolucencies on the abdominal radiograph. Pediatr Radiol 24:293–295
Ratcliffe JF, Fong S, Cheong I, O’Connell P (1992) Plain film diagnosis of intussusception: prevalence of the target sign. AJR Am J Roentgenol 158:619–621
Lazar L, Rathaus V, Erez I, et al (1995) Interrupted air column in the large bowel on plain abdominal film: a new radiological sign of intussusception. J Pediatr Surg 30:1551–1553
Barr LL, Stansberry SD, Swischuk LE (1990) Significance of age, duration, obstruction and the dissection sign in intussusception. Pediatr Radiol 20:454–456
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Hernandez, J.A., Swischuk, L.E. & Angel, C.A. Validity of plain films in intussusception. Emergency Radiology 10, 323–326 (2004). https://doi.org/10.1007/s10140-004-0354-3
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DOI: https://doi.org/10.1007/s10140-004-0354-3