Skip to main content
SpringerLink
Log in

Intussusception

Part 3: Diagnosis and management of those with an identifiable or predisposing cause and those that reduce spontaneously

  • Review
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

In the previous two parts of this review on intussusception, the diagnosis and management of symptomatic, “idiopathic” ileocolic and ileoileocolic intussusceptions, which are considered to result from hyperplasia of lymphoid tissue in the distal ileum, were discussed. In this third part, those intussusceptions with an identifiable cause including pathologic lead point, those due to gastrojejunostomy or other feeding tubes, and those that are seen in the postoperative period as well as those that may be asymptomatic or may reduce spontaneously (usually limited to the small bowel) are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4a, b.
Fig. 5.

Similar content being viewed by others

References

  1. Stringer MD, Pablot SM, Brereton RJ (1992) Paediatric intussusception. Br J Surg 79:867–876

    CAS  PubMed  Google Scholar 

  2. Blakelock RT, Beasley SW (1998) The clinical implications of non-idiopathic intussusception. Pediatr Surg Int 14:163–167

    Article  CAS  PubMed  Google Scholar 

  3. Ong NT, Beasley SW (1990) The leadpoint in intussusception. J Pediatr Surg 25:640–643

    CAS  PubMed  Google Scholar 

  4. Navarro O, Dugougeat F, Kornecki A, et al (2000) The impact of imaging in the management of intussusception owing to pathologic lead points in children. A review of 43 cases. Pediatr Radiol 30:594–603

    Article  CAS  PubMed  Google Scholar 

  5. Ein SH (1976) Leading points in childhood intussusception. J Pediatr Surg 11:209–211

    CAS  PubMed  Google Scholar 

  6. Ein SH, Stephens CA, Shandling B, et al (1986) Intussusception due to lymphoma. J Pediatr Surg 21:786–788

    CAS  PubMed  Google Scholar 

  7. Daneman A, Alton DJ, Lobo E, et al (1998) Patterns of recurrence of intussusception in children: a 17-year review. Pediatr Radiol 28:913–919

    Article  CAS  PubMed  Google Scholar 

  8. Ein SH (1975) Recurrent intussusception in children. J Pediatr Surg 10:751–755

    CAS  PubMed  Google Scholar 

  9. Champoux AN, Del Beccaro MA, Nazar-Stewart V (1994) Recurrent intussusception. Risks and features. Arch Pediatr Adolesc Med 148:474–478

    CAS  PubMed  Google Scholar 

  10. Fecteau A, Flageole H, Nguyen LT, et al (1996) Recurrent intussusception: safe use of hydrostatic enema. J Pediatr Surg 31:859–861

    CAS  PubMed  Google Scholar 

  11. Yang CM, Hsu HY, Tsao PN, et al (2001) Recurrence of intussusception in childhood. Acta Paediatr Taiwan 42:158–161

    CAS  PubMed  Google Scholar 

  12. Daneman A, Myers M, Shuckett B, et al (1997) Sonographic appearances of inverted Meckel diverticulum with intussusception. Pediatr Radiol 27:295–298

    Article  CAS  PubMed  Google Scholar 

  13. Kim G, Daneman A, Alton DJ, et al (1997) The appearance of inverted Meckel diverticulum with intussusception on air enema. Pediatr Radiol 27:647–650

    Article  CAS  PubMed  Google Scholar 

  14. Daneman A, Lobo E, Alton DJ, et al (1998) The value of sonography, CT and air enema for detection of complicated Meckel diverticulum in children with nonspecific clinical presentation. Pediatr Radiol 28:928–932

    Article  CAS  PubMed  Google Scholar 

  15. Pantongrag-Brown L, Levine MS, Elsayed AM, et al (1996) Inverted Meckel diverticulum: clinical, radiologic, and pathologic findings. Radiology 199:693–696

    CAS  PubMed  Google Scholar 

  16. Baldisserotto M, Spolidoro JVN, Bahú MGS (2002) Graded compression sonography of the colon in the diagnosis of polyps in pediatric patients. AJR Am J Roentgenol 179:201–205

    PubMed  Google Scholar 

  17. Lam AH, Firman K (1991) Ultrasound of intussusception with lead points. Australas Radiol 35:343–345

    CAS  PubMed  Google Scholar 

  18. Adamsbaum C, Sellier N, Helardot P (1989) Ileocolic intussusception with enterogenous cyst: ultrasonic diagnosis. Pediatr Radiol 19:325

    CAS  PubMed  Google Scholar 

  19. Barr LL, Hayden CK Jr, Stansberry SD, et al (1990) Enteric duplication cysts in children: are their ultrasonographic wall characteristics diagnostic? Pediatr Radiol 20:326–328

    CAS  PubMed  Google Scholar 

  20. Patenaude Y, Jéquier S, Russo P (1993) Pediatric case of the day. Duplication cyst of the distal ileum, acting as a lead point for intussusception. Radiographics 13:218–220

    CAS  PubMed  Google Scholar 

  21. Kenney IJ (1990) Ultrasound in intussusception: a false cystic lead point. Pediatr Radiol 20:348

    CAS  PubMed  Google Scholar 

  22. Brichon P, Bertrand Y, Plantaz D (2001) Lymphome de Burkitt révélé par une invagination intestinale aiguë chez l’enfant. Ann Chir 126:649–653

    Article  CAS  PubMed  Google Scholar 

  23. Selke AC Jr, Jona JZ, Belin RP (1976) Massive enlargement of the ileocecal valve due to lymphoid hyperplasia. AJR Am J Roentgenol 127:518–520

    Google Scholar 

  24. Pang LC (1989) Intussusception revisited: clinicopathologic analysis of 261 cases, with emphasis on pathogenesis. South Med J 82:215–228

    CAS  PubMed  Google Scholar 

  25. Miller SF, Landes AB, Dautenhahn LW, et al (1995) Intussusception: ability of fluoroscopic images obtained during air enemas to depict lead points and other abnormalities. Radiology 197:493–496

    CAS  PubMed  Google Scholar 

  26. Don S, Cohen MD, Wells LJ, et al (1992) Air reduction of an intussusception caused by a pathologic lead point in an infant. Pediatr Radiol 22:326–327

    CAS  PubMed  Google Scholar 

  27. Hughes UM, Connolly BL, Chait PG, et al (2000) Further report of small-bowel intussusceptions related to gastrojejunostomy tubes. Pediatr Radiol 30:614–617

    Article  CAS  PubMed  Google Scholar 

  28. Connolly BL, Chait PG, Siva-Nandan R, et al (1998) Recognition of intussusception around gastrojejunostomy tubes in children. AJR Am J Roentgenol 170:467–470

    CAS  PubMed  Google Scholar 

  29. Hughes U, Connolly B (2001) Small-bowel intussusceptions occurring around nasojejunal enteral tubes—three cases occurring in children (letter). Pediatr Radiol 31:456–457

    Article  CAS  PubMed  Google Scholar 

  30. Fisher D, Hadas-Halpern I (2001) Jejunoduodenogastric intussusception—a rare complication of gastrostomy tube migration. Pediatr Radiol 31:455

    Article  CAS  PubMed  Google Scholar 

  31. Gasparri MG, Pipinos II, Kralovich KA, et al (2000) Retrograde jejunogastric intussusception. South Med J 93:499–500

    CAS  PubMed  Google Scholar 

  32. Weber A, Nadel S (1991) CT appearance of retrograde jejunoduodenogastric intussusception: a rare complication of gastrostomy tubes. AJR Am J Roentgenol 156:957–959

    CAS  PubMed  Google Scholar 

  33. Ein SH, Ferguson JM (1982) Intussusception—the forgotten postoperative obstruction. Arch Dis Child 57:788–790

    CAS  PubMed  Google Scholar 

  34. Holcomb GW 3rd, Ross AJ 3rd, O’Neill JA Jr (1991) Postoperative intussusception: increasing frequency or increasing awareness? South Med J 84:1334–1339

    PubMed  Google Scholar 

  35. Mollitt DL, Ballantine TVN, Grosfeld JL (1979) Postoperative intussusception in infancy and childhood: analysis of 119 cases. Surgery 86:402–408

    CAS  PubMed  Google Scholar 

  36. West KW, Stephens B, Rescorla FJ, et al (1988) Postoperative intussusception: experience with 36 cases in children. Surgery 104:781–787

    CAS  PubMed  Google Scholar 

  37. Kiesling VJ Jr, Tank ES (1989) Postoperative intussusception in children. Urology 33:387–389

    PubMed  Google Scholar 

  38. Linke F, Eble F, Berger S (1998) Postoperative intussusception in childhood. Pediatr Surg Int 14:175–177

    Article  CAS  PubMed  Google Scholar 

  39. de Vries S, Sleeboom C, Aronson DC (1999) Postoperative intussusception in children. Br J Surg 86:81–83

    Article  PubMed  Google Scholar 

  40. Kidd J, Jackson R, Wagner CW, et al (2000) Intussusception following the Ladd procedure. Arch Surg 135:713–715

    Article  CAS  PubMed  Google Scholar 

  41. Kaste SC, Wilimas J, Rao BN (1995) Postoperative small-bowel intussusception in children with cancer. Pediatr Radiol 25:21–23

    CAS  PubMed  Google Scholar 

  42. Beek FJA, Rövekamp MH, Bax NMA, et al (1990) Ultrasound findings in post-operative jejunojejunal intussusception. Pediatr Radiol 20:601

    CAS  PubMed  Google Scholar 

  43. Carnevale E, Graziani M, Fasanelli S (1994) Post-operative ileo-ileal intussusception: sonographic approach. Pediatr Radiol 24:161–163

    CAS  PubMed  Google Scholar 

  44. Pumberger W, Pomberger G, Wiesbauer P, et al (2002) Postoperative intussusception: an overlooked complication in pediatric surgical oncology. Med Pediatr Oncol 38:208–210

    Article  PubMed  Google Scholar 

  45. Allbery SM, Swischuk LE, John SD, et al (1998) Post-operative intussusception: often an elusive diagnosis. Pediatr Radiol 28:271

    Article  CAS  Google Scholar 

  46. Jabra AA, Eng J, Zaleski CG, et al (2001) CT of small-bowel obstruction in children: sensitivity and specificity. AJR Am J Roentgenol 177:431–436

    CAS  PubMed  Google Scholar 

  47. Kornecki A, Daneman A, Navarro O, et al (2000) Spontaneous reduction of intussusception: clinical spectrum, management and outcome. Pediatr Radiol 30:58–63

    Article  CAS  PubMed  Google Scholar 

  48. Teitelbaum MD, Arenson N (1950) Recurrent small intestinal intussusception in children. AJR Am J Roentgenol 63:80–88

    Google Scholar 

  49. Franken EA Jr (1975) Gastrointestinal radiology in pediatrics, 1st edn. Harper & Row, Hagerstown, pp 136–142

  50. Singleton EB, Wagner ML, Dutton RV (1977) Radiology of the alimentary tract in infants and children, 2nd edn. Saunders, Philadelphia, pp 237

  51. Daneman A, Reilly BJ, De Silva M, et al (1982) Intussusception on small bowel examination in children. AJR Am J Roentgenol 139:299–304

    CAS  PubMed  Google Scholar 

  52. Knowles MC, Fishman EK, Kuhlman JE, et al (1989) Transient intussusception in Crohn disease: CT evaluation. Radiology 170:814

    CAS  PubMed  Google Scholar 

  53. Strouse PJ, DiPietro MA, Sáez F (2003) Transient small bowel intussusception in children on CT. Pediatr Radiol 33:316–320

    PubMed  Google Scholar 

  54. Robben SGF, Maertzdorf M, van Nuenen J, et al (1998) Asymptomatic small bowel intussusception in children (abstract). Pediatric Radiology 28:363–364

    Google Scholar 

  55. Hayden CK Jr (1996) Ultrasonography of the acute pediatric abdomen. Radiol Clin North Am 34:791–806

    PubMed  Google Scholar 

  56. Siaplaouras J, Moritz JD, Gortner L, et al (2003) Dünndarminvaginationen im Kindesalter: Diagnostik und Bedeutung (Small bowel intussusception in childhood). Klin Pädiatr 215:53–56

    Google Scholar 

  57. Tiao MM, Wan YL, Ng SH, et al (2001) Sonographic features of small-bowel intussusception in pediatric patients. Acad Emerg Med 8:368–373

    CAS  PubMed  Google Scholar 

  58. Ein SH, Alton D, Palder SB, et al (1997) Intussusception in the 1990s; has 25 years made a difference? Pediatr Surg Int 12:374–376

    Article  CAS  PubMed  Google Scholar 

  59. Eklöf OA, Johanson L, Löhr G (1980) Childhood intussusception: hydrostatic reducibility and incidence of leading points in different age groups. Pediatr Radiol 10:83–86

    PubMed  Google Scholar 

  60. Ko SF, Lee TY, Ng SH, et al (2002) Small bowel intussusception in symptomatic pediatric patients: experiences with 19 surgically proven cases. World J Surg 26:438–443

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Diagnostic Imaging, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada

    Oscar Navarro & Alan Daneman

Authors
  1. Oscar Navarro
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alan Daneman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Oscar Navarro.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Navarro, O., Daneman, A. Intussusception. Pediatr Radiol 34, 305–312 (2004). https://doi.org/10.1007/s00247-003-1028-0

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-003-1028-0

Keywords

Search

Navigation