Cargando…

Ultrasonography for the Diagnosis of Intussusception in Children: An Experience From Pakistan

Introduction: Intussusception can lead to small bowel obstruction in children, hence the early diagnosis of this condition is very important. The purpose of this study is to evaluate the accuracy of sonography in the diagnostic work-up of children with suspected intussusceptions in the emergency set...

Descripción completa

Detalles Bibliográficos
Autores principales: Dadlani, Arthina, Lal, Sajan, Shahani, Bhesham, Ali, Muhammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7482991/
https://www.ncbi.nlm.nih.gov/pubmed/32923254
http://dx.doi.org/10.7759/cureus.9656
_version_ 1783580885351661568
author Dadlani, Arthina
Lal, Sajan
Shahani, Bhesham
Ali, Muhammad
author_facet Dadlani, Arthina
Lal, Sajan
Shahani, Bhesham
Ali, Muhammad
author_sort Dadlani, Arthina
collection PubMed
description Introduction: Intussusception can lead to small bowel obstruction in children, hence the early diagnosis of this condition is very important. The purpose of this study is to evaluate the accuracy of sonography in the diagnostic work-up of children with suspected intussusceptions in the emergency setting, keeping surgical findings as the gold standard. Methods and design: Two hundred patients with classical presentation of intussusceptions, who were diagnosed either by barium enema or CT scan, were included in this study. Patients with irreducible intussusceptions on color Doppler were followed after surgery. Results: The average age of the patients was 6.7 ± 2.8 years, and the study population consisted of 115 (57.5%) boys and 85 (42.5%) girls. One hundred forty-three patients were confirmed to have intussusception on ultrasonography, of whom 117 (81.8%) were confirmed to have intussusception after surgery while 26 (18%) were not diagnosed with intussusception during surgery. Despite the clinical presentation of intussusceptions, ultrasonography was not diagnostic in 57 patients, of whom 28 were confirmed to have intussusception after surgery and 29 were not found to have the disease. Conclusion: Use of ultrasonography in cases with intussusception has proven to be a reliable and accurate method for diagnosing intussusception and provides an advantage over unnecessary radiological or surgical procedures being performed.
format Online
Article
Text
id pubmed-7482991
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-74829912020-09-12 Ultrasonography for the Diagnosis of Intussusception in Children: An Experience From Pakistan Dadlani, Arthina Lal, Sajan Shahani, Bhesham Ali, Muhammad Cureus Radiology Introduction: Intussusception can lead to small bowel obstruction in children, hence the early diagnosis of this condition is very important. The purpose of this study is to evaluate the accuracy of sonography in the diagnostic work-up of children with suspected intussusceptions in the emergency setting, keeping surgical findings as the gold standard. Methods and design: Two hundred patients with classical presentation of intussusceptions, who were diagnosed either by barium enema or CT scan, were included in this study. Patients with irreducible intussusceptions on color Doppler were followed after surgery. Results: The average age of the patients was 6.7 ± 2.8 years, and the study population consisted of 115 (57.5%) boys and 85 (42.5%) girls. One hundred forty-three patients were confirmed to have intussusception on ultrasonography, of whom 117 (81.8%) were confirmed to have intussusception after surgery while 26 (18%) were not diagnosed with intussusception during surgery. Despite the clinical presentation of intussusceptions, ultrasonography was not diagnostic in 57 patients, of whom 28 were confirmed to have intussusception after surgery and 29 were not found to have the disease. Conclusion: Use of ultrasonography in cases with intussusception has proven to be a reliable and accurate method for diagnosing intussusception and provides an advantage over unnecessary radiological or surgical procedures being performed. Cureus 2020-08-11 /pmc/articles/PMC7482991/ /pubmed/32923254 http://dx.doi.org/10.7759/cureus.9656 Text en Copyright © 2020, Dadlani et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiology
Dadlani, Arthina
Lal, Sajan
Shahani, Bhesham
Ali, Muhammad
Ultrasonography for the Diagnosis of Intussusception in Children: An Experience From Pakistan
title Ultrasonography for the Diagnosis of Intussusception in Children: An Experience From Pakistan
title_full Ultrasonography for the Diagnosis of Intussusception in Children: An Experience From Pakistan
title_fullStr Ultrasonography for the Diagnosis of Intussusception in Children: An Experience From Pakistan
title_full_unstemmed Ultrasonography for the Diagnosis of Intussusception in Children: An Experience From Pakistan
title_short Ultrasonography for the Diagnosis of Intussusception in Children: An Experience From Pakistan
title_sort ultrasonography for the diagnosis of intussusception in children: an experience from pakistan
topic Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7482991/
https://www.ncbi.nlm.nih.gov/pubmed/32923254
http://dx.doi.org/10.7759/cureus.9656
work_keys_str_mv AT dadlaniarthina ultrasonographyforthediagnosisofintussusceptioninchildrenanexperiencefrompakistan
AT lalsajan ultrasonographyforthediagnosisofintussusceptioninchildrenanexperiencefrompakistan
AT shahanibhesham ultrasonographyforthediagnosisofintussusceptioninchildrenanexperiencefrompakistan
AT alimuhammad ultrasonographyforthediagnosisofintussusceptioninchildrenanexperiencefrompakistan