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PICTORIAL ESSAY   

Il Giornale Italiano di Radiologia Medica 2018 Maggio-Giugno;5(3):392-7

DOI: 10.23736/S2283-8376.18.00079-7

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Ileocolic intussusception at pediatric age: diagnostic imaging, reduction by US-guided enema, and final abdominal X-ray

Silvia LORENZI 1 , Azzurra BERNARDINI 2, Michele TONERINI 1, Davide CARAMELLA 2

1 Radiodiagnostica Pronto Soccorso, Dipartimento Emergenze e Accettazione, Azienda Ospedaliera-Universitaria Pisana, Ospedale di Cisanello, Pisa, Italia; 2 Radiologia Diagnostica e Interventistica, Università di Pisa, Pisa, Italia


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Ileocolic intussusception (ICI) is one of the most common causes of acute abdomen in the children and a prompt diagnosis is fundamental to attempt a non-surgical reduction and to avoid severe complications requiring invasive surgery. For many years the diagnostic and therapeutic management of ICI has relied on conventional radiology and on water-soluble contrast enema examination. In the last years ultrasonography (US) has gained a crucial role resulting in an easily available and non-invasive technique to diagnose this condition, with high percentage of specificity and sensitivity and without the use of ionizing radiations. This is even more relevant in the therapeutic approach as radiological enema may need a long time of exposure, while US allows the procedure of reduction to be followed without any dose risk. In this work we review the ICI sonographic features and the technique of US-guided enema treatment, explaining respective contraindications and advantages.


KEY WORDS: Intussusception - Ultrasonography - Enema - Abdominal radiography - Pediatric emergency medicine

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