An Unusual Case of Intussusception

Goyal, Monika; Ellison, Angela M.; Schapiro, Emily

doi:10.1097/pec.0b013e3181d1e64b

Cited by 1 publication

(1 citation statement)

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“…Oral administration of 750 mL isotonic polyethylene glycol can improve visualization of bowel walls and fold pattern [83] . Ultrasound findings include dilated small bowel (> 2.5 cm including the wall), bowel wall thickening (≥ 3 mm), increased or decreased peristalsis, mesenteric lymphadenopathy, ascites, reversed jejunoileal fold pattern (effaced mucosa in the jejunum and thickened folds in the ileum), and small bowel-small bowel intussusception [82][83][84][85][86] .…”

Section: A B C D E F G Hmentioning

confidence: 99%

Abdominal ultrasonography of the pediatric gastrointestinal tract

Gale¹,

Gee²,

Westra³

et al. 2016

WJR

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Ultrasound is an invaluable imaging modality in the evaluation of pediatric gastrointestinal pathology; it can provide real-time evaluation of the bowel without the need for sedation or intravenous contrast. Recent improvements in ultrasound technique can be utilized to improve detection of bowel pathology in children: Higher resolution probes, color Doppler, harmonic and panoramic imaging are excellent tools in this setting. Graded compression and cine clips provide dynamic information and oral and intravenous contrast agents aid in detection of bowel wall pathology. Ultrasound of the bowel in children is typically a targeted exam; common indications include evaluation for appendicitis, pyloric stenosis and intussusception. Bowel abnormalities that are detected prenatally can be evaluated after birth with ultrasound. Likewise, acquired conditions such as bowel hematoma, bowel infections and hernias can be detected with ultrasound. Rare bowel neoplasms, vascular disorders and foreign bodies may first be detected with sonography, as well. At some centers, comprehensive exams of the gastrointestinal tract are performed on children with inflammatory bowel disease and celiac disease to evaluate for disease activity or to confirm the diagnosis. The goal of this article is to review up-to-date imaging techniques, normal sonographic anatomy, and characteristic sonographic features of common and uncommon disorders affecting the gastrointestinal tract in children.

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