ULTRASONOGRAPHY AS A RELIABLE TOOL IN DIAGNOSIS AND IMAGING BASED FOLLOW-UP PROCEDURE IN CONSERVATIVELY MANAGED TRANSIENT SMALL BOWEL INTUSSUSCEPTION
Dr. Emhmed Mohamed Saaid*, Dr. Emraga Abohamod and Dr. Momen Abdu Alkhir
The paper aim is to evaluate the ultra-sonographic features of transient small bowel intussusceptions (TSBI) in paediatrics age group. In our unit, we came across six cases with TSBI cases (4 males and 2 females, the age ranges between 7–120 months (mean 38.months). Retrospective analysis of the demographic characteristics and ultrasonographic findings was done The radiological findings as location, calibre, outer rim thickness, and inclusion of mesenteric lymph nodes within intussuscipiens were compared. In TSBI, the intussusception head was located in the abdominal right lower quadrant (RLQ) in 3 (50%), the right upper quadrant (RUQ) in 1 (16%) and the periumbilical area in 2 (33%) cases. The anteroposterior (AP) diameter ranged from 0.9–2.5 cm (mean 1.38 cm), and thickness of outer rim ranged from 0.10–0.34 cm (mean 0.26 cm). No mesenteric lymph nodes were contained within the intussuscipiens. In conclusion, ultrasound examination is the preferred primary radiological diagnostic modality to evaluate and diagnose the acute abdomen with a suspected small bowel intussusception.
Keywords: Intussusception, Small bowel obstruction, Ultrasonography, Laparatomy.
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