caa a22 4500 475754794 CHVBK 20180406123535.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s002470000261 doi (NATIONALLICENCE)springer-10.1007/s002470000261 The impact of imaging in the management of intussusception owing to pathologic lead points in children [Elektronische Daten] A review of 43 cases [O. Navarro, F. Dugougeat, A. Kornecki, B. Shuckett, D. J. Alton, A. Daneman] Objective. To review the imaging appearances, management and outcome of a large number of children with intussusception owing to pathologic lead points (PLP) in an attempt to define the role of various imaging modalities in this clinical setting.¶Materials and methods. Review of the records and imaging studies of 43 children with intussusception due to PLP diagnosed between 1986 and 1999.¶Results. The commonest PLP found were Meckel diverticulum, polyps, Henoch-Schönlein purpura and cystic fibrosis. PLP were depicted on sonography in 23 (66 %) of 35 patients, on computed tomography in 5 (71 %) of 7, on air enema in 3 (11 %) of 28, and on barium enema in 6 (40 %) of 15. Air enema successfully reduced 60 % of the intussusceptions. Nine children had recurrent intussusceptions.¶Conclusion. Sonography depicted two-thirds of PLP and provided a specific diagnosis in nearly one-third of our series. Our review does not provide sufficient data on how to continue the investigation of those patients in whom sonography does not depict a PLP but in whom there is a high index of suspicion for its presence. It remains a diagnostic challenge as to how to search for PLP in these patients, and other imaging modalities have to be requested according to each particular case. Springer-Verlag Berlin Heidelberg, 2000 Navarro O. Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada e-mail: alan.daneman@utoronto.ca Tel.: + 1-4 16-8 13 68 88 Fax: + 14 16-8 13 75 91, CA aut Dugougeat F. Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada e-mail: alan.daneman@utoronto.ca Tel.: + 1-4 16-8 13 68 88 Fax: + 14 16-8 13 75 91, CA aut Kornecki A. Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada e-mail: alan.daneman@utoronto.ca Tel.: + 1-4 16-8 13 68 88 Fax: + 14 16-8 13 75 91, CA aut Shuckett B. Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada e-mail: alan.daneman@utoronto.ca Tel.: + 1-4 16-8 13 68 88 Fax: + 14 16-8 13 75 91, CA aut Alton D. J. Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada e-mail: alan.daneman@utoronto.ca Tel.: + 1-4 16-8 13 68 88 Fax: + 14 16-8 13 75 91, CA aut Daneman A. Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada e-mail: alan.daneman@utoronto.ca Tel.: + 1-4 16-8 13 68 88 Fax: + 14 16-8 13 75 91, CA aut https://doi.org/10.1007/s002470000261 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002470000261 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Navarro O. Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada e-mail: alan.daneman@utoronto.ca Tel.: + 1-4 16-8 13 68 88 Fax: + 14 16-8 13 75 91, CA aut NATIONALLICENCE 700 1- Dugougeat F. Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada e-mail: alan.daneman@utoronto.ca Tel.: + 1-4 16-8 13 68 88 Fax: + 14 16-8 13 75 91, CA aut NATIONALLICENCE 700 1- Kornecki A. Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada e-mail: alan.daneman@utoronto.ca Tel.: + 1-4 16-8 13 68 88 Fax: + 14 16-8 13 75 91, CA aut NATIONALLICENCE 700 1- Shuckett B. Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada e-mail: alan.daneman@utoronto.ca Tel.: + 1-4 16-8 13 68 88 Fax: + 14 16-8 13 75 91, CA aut NATIONALLICENCE 700 1- Alton D. J. Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada e-mail: alan.daneman@utoronto.ca Tel.: + 1-4 16-8 13 68 88 Fax: + 14 16-8 13 75 91, CA aut NATIONALLICENCE 700 1- Daneman A. Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada e-mail: alan.daneman@utoronto.ca Tel.: + 1-4 16-8 13 68 88 Fax: + 14 16-8 13 75 91, CA aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer