| Clinical Approach of Ultrasonography in the Diagnosis of Intussusception in Infant and Children |
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Hee Tag Lim, Jin Kil Park, Hong Ju Choi, Jae Sam Kim, Hyo Kyung Shin, Chul Hoi Gu |
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Department of Pediatrics, Pusan Adventist Hospital, Pusan, Korea |
| 복부 초음파 촬영에 의한 소아 장중첩즈의 진단 |
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임희택, 박진길, 최홍주, 김재삼, 신효경, 구철회 |
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부산 위생병원 소아과 |
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| Abstract |
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Thirty consecutive partient seen in a pediatric out patient and emergency department, in whom the diagnosis of intussusception was considered, had an ultrasound examination of the abdomen before the barium enema. The peak age was 5~12 month(range 4~34 month). Intussusception was detected by ultrasonography in all 25 cases proved by barium enema(sensitivity 100%).
Normal findings on ultrasonography correlated with negative barium enema results in 5 of 5 cases(negative predictive value = 100%). No intussusception was missed by ultrasonography.
To determine which patient would most benfit from ultrasonography, we divided patients into either a high risk group (100% intussusception) or a low risk group (37.5% intussusception) on the screening procedure in the diagnosis or exclusion of childhood intussusception.
Probability of surgical reduction was associated with size of total thickness and external rim thickness. |
| Key Words:
Intussusception in Ultrasonography |
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