Use of Ultrasound in the Diagnostic Work-Up of Adult Intussusception – A Multicenter Retrospective Analysis

Klinger, Christoph; Riecken, Bettina; Dietrich, Christoph F.; Dirks, Klaus; Caca, Karel; Fröhlich, Eckhart

doi:10.1055/a-0604-2676

Cited by 5 publications

(7 citation statements)

References 35 publications

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“…We found 8 cases of ileocolic intussusception in infants up to ten months of age, hereof one with necrosis of the intestine. US examinations showing ileocolic intussusception reported typical findings such as "telescoping of bowl into bowl", "doughnut sign" or a "swirl" of the intestines with layers of different echogenicity [33][34][35][36][37][38][39] (fig 1). One case of pediatric intestinal necrosis presented with a significant amount of free intraperitoneal fluid on examination [40].…”

Section: Resultsmentioning

confidence: 99%

Scoping Review: Ultrasonographic evidence of intraabdominal manifestations of COVID-19 infection

et al. 2023

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COVID-19 is an infectious disease caused by the novel SARS-CoV-2 coronavirus that in the majority of patients will only cause mild symptoms. The most common serious complication is COVID-19 pneumonia, however, gastrointestinal (GI) COV-ID-19 is also a frequent presentation and likely due to the high expression of the ACE2 receptor in the GI tract. As diagnostic ultrasound has been frequently used in the management of this patient cohort, we conducted a literature search with the aim to present and review the currently published evidence of using ultrasound examinations in the management of intraabdominal manifestations of COVID-19. Our analysis showed that sonographic abnormalities of the hepatobiliary system are the most commonly reported findings in adults, while gastrointestinal abnormalities are the most common findings in children. The most severe complications are related to thromboembolic complications in the intensive care unit.

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Section: Resultsmentioning

confidence: 99%

Scoping Review: Ultrasonographic evidence of intraabdominal manifestations of COVID-19 infection

et al. 2023

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“…Of the few studies available in the literature, the majority were retrospective analyses and report an accuracy ranging from 60 -85% for ultrasound-detected adult intussusception. [9][10][11] One particular multicentre retrospective analysis reported that abdominal ultrasound was able to correctly localise adult intussusception in 95% of cases and accurately detect complications in 100% of cases. 11 Albeit intussusception is a surgical condition and the patient in this case initially presented to the emergency department, this patient could have developed these symptoms while inpatient on the medicine service.…”

Section: Discussionmentioning

confidence: 99%

“…[9][10][11] One particular multicentre retrospective analysis reported that abdominal ultrasound was able to correctly localise adult intussusception in 95% of cases and accurately detect complications in 100% of cases. 11 Albeit intussusception is a surgical condition and the patient in this case initially presented to the emergency department, this patient could have developed these symptoms while inpatient on the medicine service. When faced with acute changes in a patient's status, vitals, physical examination, and laboratory studies are appropriately first performed.…”

Section: Discussionmentioning

confidence: 99%

Bedside Point-of-Care Ultrasound of an Adult with Diffuse Intermittent Abdominal Pain

Nwanaji‐Enwerem

Landry

2020

Acute Med J

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“…Some investigators reported that ultrasound was found to be less reliable in two adult patient case series and suggested bowel edema, air-fluid levels, and larger fecal loads as potential reasons (30) . However, in a European retrospective multicenter case series, sonographers with 'basic skill sets' detected 63.6% of intussusceptions in adults on initial evaluation, while experts detected 91.7% (31) .…”

Section: Introductionmentioning

confidence: 94%

A brief review of diagnostic properties of point-of-care ultrasound for adult bowel intussusception: Making the case for ultrasound

Tempel¹,

Balk²,

Schafer³

et al. 2023

J Ultrason

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Undifferentiated abdominal pain in adults is a common chief complaint in acute care clinics and emergency departments worldwide, representing up to 10% of visits to emergency departments. Many patients have a non-specific presentation and an initial workup with labwork, urine analysis or X-ray might not reveal a specific diagnosis. Although bowel intussusception is a primarily pediatric disease, adult intussusception is a recognized but rare cause of bowel obstruction often requiring surgical intervention. However, recent data from advanced multi-detector computed tomography imaging shows that milder or recurring cases in adults have been underrecognized. Multi-detector computed tomography is still the imaging gold standard for detecting intussusception in adults, but new data showed that sonographers with basic training using the point-of-care ultrasound approach have a reasonable accuracy in detecting this pathology. As the point-of-care ultrasound for undifferentiated abdominal pain is an emerging core skill in the acute care setting, knowledge of sonographic signs of intestinal intussusception should be included in the skill set of physicians. Sonographic findings in adults mimic pediatric cases, but different location patterns and higher malignancy rates exist in adults. In this manuscript, we will review the current literature on adult intussusception and summarize key knowledge of intestinal intussusception in adults. We will present four adult patients diagnosed with different types of adult acute bowel intussusception using the point-of-care ultrasound and describe a focused scanning approach with typical sonographic findings.

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Use of Ultrasound in the Diagnostic Work-Up of Adult Intussusception – A Multicenter Retrospective Analysis

Cited by 5 publications

References 35 publications

Scoping Review: Ultrasonographic evidence of intraabdominal manifestations of COVID-19 infection

Scoping Review: Ultrasonographic evidence of intraabdominal manifestations of COVID-19 infection

Bedside Point-of-Care Ultrasound of an Adult with Diffuse Intermittent Abdominal Pain

A brief review of diagnostic properties of point-of-care ultrasound for adult bowel intussusception: Making the case for ultrasound

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