All issues > Volume 37(5); 1994

Original Article

J Korean Pediatr Soc. 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 HT Lim¹, Jin Kil JK Park¹, Hong Ju HJ Choi¹, Jae Sam JS Kim¹, Hyo Kyung HK Shin¹, Chul Hoi CH Gu¹

¹Department of Pediatrics, Pusan Adventist Hospital, Pusan, Korea

Abstract

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.

Keywords :Intussusception in Ultrasonography