Angiographic Diagnosis of Small Intestinal Intussusception

Lande, A; Schechter, Lawrence S.; Bole, Prafull V.

doi:10.1148/122.3.691

Cited by 16 publications

(5 citation statements)

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“…A number of different radiological and endoscopic methods have been described as useful in the diagnosis of intussusception: plain abdominal film, barium studies, abdominal sonography, abdominal CT scan, angiography, radionucleotide studies, and magnetic resonance imaging. [13][14][15][16][17][18][19][20] Most studies advise that abdominal CT provides the most accurate diagnostic rate for intestinal intussusception. 1,8,12 In our study, an 88.6% diagnostic rate of intestinal intussusception was achieved using abdominal CT scans.…”

Section: Discussionmentioning

confidence: 99%

Adult intussusception in Asians: Clinical presentations, diagnosis, and treatment

Chang

Chen

et al. 2007

J of Gastro and Hepatol

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Section: Discussionmentioning

confidence: 99%

Adult intussusception in Asians: Clinical presentations, diagnosis, and treatment

Chang

Chen

et al. 2007

J of Gastro and Hepatol

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“…Angiographic criteria for intestinal intussusception have been described, including abrupt disappearance of mesenteric vessels, angulation of invaginated vessels, overlap of mesentery vessels by branches of the intussuscipiens, and abrupt changes of the vasa rectae of the intussuscipiens [12]. However, angiography is an unnecessarily invasive procedure.…”

Section: Discussionmentioning

confidence: 99%

Multislice CT in adult colocolic intussusception: case report and review of the literature

et al. 2007

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Intussusception in adults is generally a rare diagnosis and generally different from intussusception in children in terms of clinical presentation, etiology, and incidence (Begos et al., Am J Surg, 173:88-94, 1997; Watson and Bisset, Clin Radiol, 49:723-726, 1994; Felix et al., Am J Surg, 131:723-726, 1976). One third of these affect the large bowel. Adult intussusception shows clinically uncharacteristic symptoms of bowel obstruction; thus, the diagnosis is often clinically missed. We report the case of a 39-year-old woman suffering from long-term abdominal pain. This case report discusses the clinical advantages of multislice computed tomography for the diagnosis of adult intussusception and shows a comprehensive overview of the literature.

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“…Several methods can contribute to the preoperative diagnosis of intussusception, such as abdominal CT scan, abdominal ultrasound, plain film, angiography, and radionucleotide studies. [ 6 , 10 ] Among them, Abdominal CT is reportedly the most useful tool. With typical target or sausage sign, abdominal CT scans are of great help of diagnosis of intussusception with diagnostic accuracy rates ranging from 58 to 100%.…”

Section: Discussionmentioning

confidence: 99%

Ileocolic intussusception caused by ileal lipoma

et al. 2020

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Rationale: Adult intussusception is rarely observed, accounting for about 5% of all cases of intussusception. Most ileal lipomas are asymptomatic and do not need any special treatment. Herein, we describe a case with ileocolic intussusception caused by ileal lipoma. Patient concerns: A 27-year-old woman complaints of intermittent abdominal pain for 10 days. Diagnosis: Abdominal computed tomography demonstrated ileocolic intussusception. Colonoscopy revealed a spherical polypoid lesion with surface capillary rising from the lateral wall of the ileum. A diagnosis of ileocolic intussusception was made. Interventions: The patient underwent primary resection of the intussuscepted intestine after which an end-to-end anastomosis was performed. Outcomes: Histopathology report confirmed a 4.5 cm × 3.5 cm lipoma in the terminal ileum. The patient was discharged on a postoperative day 9 without complications. Lessons: We describe the difficulties in diagnosis and treatment of this rare cause of intussusception and review the literature on adult intussusceptions. The ileal lipoma is a very rare cause of ileocolic intussusception. Abdominal CT and colonoscopy are important for the diagnosis of intussusception and abdominal lipomas. Surgical resection remains the treatment of choice.

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Angiographic Diagnosis of Small Intestinal Intussusception

Cited by 16 publications

References 0 publications

Adult intussusception in Asians: Clinical presentations, diagnosis, and treatment

Adult intussusception in Asians: Clinical presentations, diagnosis, and treatment

Multislice CT in adult colocolic intussusception: case report and review of the literature

Ileocolic intussusception caused by ileal lipoma

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