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Pediatric Radiology

, Volume 36, Issue 11, pp 1177–1181 | Cite as

Ileoileal intussusception in children: ultrasonographic differentiation from ileocolic intussusception

  • Fraukje WiersmaEmail author
  • Jan H. Allema
  • Herma C. Holscher
Original Article

Abstract

Background

The treatment of ileoileal intussusception in children differs from that of ileocolic intussusception.

Objective

To differentiate ileoileal intussusception from ileocolic intussusception using ultrasonography.

Materials and methods

We reviewed the clinical and ultrasonographic findings in 27 patients with intussusception between September 2003 and July 2005. For statistical analysis the Mann-Whitney test was applied.

Results

Regarding ileoileal intussusceptions, 11 were documented in ten patients (seven boys, three girls; mean age 3.1 years). Symptoms suggestive of intussusception were present in nine patients. The mean diameter was 1.5 cm (range 1.1–2.5 cm) and length 2.5 cm (range 1.5–6.0 cm). The intussusceptions were located in the paraumbilical region (n=6), the right upper quadrant (n=2), the right lower quadrant (n=2), and the left lower quadrant (n=1). Regarding ileocolic intussusceptions, 16 were documented in 14 patients (13 boys, 1 girl; mean age 1.9 years). All patients had symptoms suggestive of intussusception. The mean diameter was 3.7 cm (range 3.0–5.5 cm) and mean length was 8.2 cm (range 5.0–12.5 cm). All intussusceptions were located in the right side of the abdomen. The difference in diameter and length between ileoileal and ileocolic intussusceptions was statistically significant (P<0.05).

Conclusion

Unlike clinical symptoms, ultrasonography can differentiate between ileoileal and ileocolic intussusception. The diameter and length of the intussusception are the main criteria.

Keywords

Intussusception Ultrasound Children 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Fraukje Wiersma
    • 1
    • 2
    Email author
  • Jan H. Allema
    • 3
  • Herma C. Holscher
    • 2
    • 4
  1. 1.Department of Radiology, Location LeyenburgHaga Teaching HospitalThe HagueThe Netherlands
  2. 2.Department of RadiologyLeiden University Medical CentreLeidenThe Netherlands
  3. 3.Department of Surgery, Juliana Children’s HospitalHaga Teaching HospitalThe HagueThe Netherlands
  4. 4.Department of Radiology, Juliana Children’s HospitalHaga Teaching HospitalThe HagueThe Netherlands

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