Journal of the Korean Pediatric Society 1994;37(5):649-654.
Published online May 15, 1994.
Clinical Approach of Ultrasonography in the Diagnosis of Intussusception in Infant and Children
Hee Tag Lim, Jin Kil Park, Hong Ju Choi, Jae Sam Kim, Hyo Kyung Shin, Chul Hoi Gu
Department of Pediatrics, Pusan Adventist Hospital, Pusan, Korea
복부 초음파 촬영에 의한 소아 장중첩즈의 진단
임희택, 박진길, 최홍주, 김재삼, 신효경, 구철회
부산 위생병원 소아과
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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